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MAGNOLIA RIDGE REHABILITATION & SENIOR LIVING OPCO LLC

Details

Name: MAGNOLIA RIDGE REHABILITATION & SENIOR LIVING OPCO LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 27 Jan 2022 (3 years ago)
Entity Number: 001-002-214
Register Number: 001002214
County: Montgomery
Place of Formation: Delaware
Principal Address: 4201 BESSEMER HIGHWAYBESSEMER, AL 01603
Principal Mailing Address: 3440 Hollywood Blvd STE 415Hollywood, FL 33021
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EL28GTJ5LSM8 2025-02-22 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, 2412, USA 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, 2412, USA

Business Information

Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2024-02-26
Initial Registration Date 2022-11-29
Entity Start Date 2022-02-10
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 623110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name NATHAN HERTZEL
Role CEO
Address 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, USA
Title ALTERNATE POC
Name ETHEL STEINBERG
Address 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, USA
Government Business
Title PRIMARY POC
Name NATHAN HERTZEL
Role CEO
Address 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, USA
Title ALTERNATE POC
Name ETHEL STEINBERG
Address 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, USA
Past Performance
Title ALTERNATE POC
Name ETHEL STEINBERG
Address 4201 BESSEMER SUPER HWY, BESSEMER, AL, 35020, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649926114 2022-02-23 2022-02-23 4201 BESSEMER SUPER HWY, BESSEMER, AL, 350202412, US 4201 BESSEMER SUPER HWY, BESSEMER, AL, 350202412, US

Contacts

Phone +1 423-883-7920
Phone +1 205-428-3249

Authorized person

Name CYNDI MATHENY
Role CFO
Phone 4238837920

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
VCORP AGENT SERVICES, INC. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State