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627 Middleton Road OpCo LLC

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Company Details

Name: 627 Middleton Road OpCo LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 17 Dec 2024 (6 months ago)
Business ID: 1469101
ZIP code: 38967
County: Montgomery
State of Incorporation: DELAWARE
Principal Office Address: 627 Middleton RdWinona, MS 38967
Fictitious names: Middleton Oaks Health and Rehabilitation

Agent

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

Member

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

National Provider Identifier

NPI Number:
1285442137
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:
6622834704

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-09 Annual Report For 627 Middleton Road OpCo LLC
Fictitious Name Registration Filed 2025-01-15 Fictitious Name Registration For 627 Middleton Road OpCo LLC
Formation Form Filed 2024-12-17 Formation For 627 Middleton Road OpCo LLC

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website