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555 John R Junkin Drive OpCo LLC

Company Details

Name: 555 John R Junkin Drive OpCo LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 17 Dec 2024 (6 months ago)
Business ID: 1469093
ZIP code: 39120
County: Adams
State of Incorporation: DELAWARE
Principal Office Address: 555 John R. Junkin DrNatchez, MS 39120
Fictitious names: Grand Trace Health and Rehabilitation

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 109 Executive Drive, Suite 3, Madison, MS 39110

Member

Name Role Address
Natchez ParentCo LLC Member 1040 Crown Pointe Pkwy., Ste. 600, Atlanta, GA 30338

National Provider Identifier

NPI Number:
1215745252
Certification Date:
2025-03-10

Authorized Person:

Name:
TIFFANY HOBACK
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
6014420321

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-09 Annual Report For 555 John R Junkin Drive OpCo LLC
Fictitious Name Registration Filed 2025-01-14 Fictitious Name Registration For 555 John R Junkin Drive OpCo LLC
Formation Form Filed 2024-12-17 Formation For 555 John R Junkin Drive OpCo LLC

Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website