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Healthcare Rehab, LLC

Company Details

Name: Healthcare Rehab, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 12 Aug 2004 (21 years ago)
Business ID: 859494
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 5703 GULF TECH DRIVEOCEAN SPRINGS, MS 39564

Agent

Name Role Address
Bayles, R. Douglas Agent 1189 Highway 42;P.O. Box 843, Sumrall, MS 39482

Member

Name Role Address
Larry Russell Member 10311-B Boney Avenue, D'iberville, MS 39540
Paul Stein Member 606 RUE MAUPESANT, OCEAN SPRINGS, MS 39564

Manager

Name Role Address
Larry Russell Manager 10311-B BONEY AVENUE, D''IBERVILLE, MS 39540

Organizer

Name Role Address
John R Davis Organizer 8520 SOUTH 36TH TERRACE, FORT SMITH, AR 72908

National Provider Identifier

NPI Number:
1720179930

Authorized Person:

Name:
GREG ARNOLD
Role:
COMPLIANCE
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No

Contacts:

Filings

Type Status Filed Date Description
Dissolution Filed 2012-11-06 Dissolution
Annual Report LLC Filed 2012-03-28 Annual Report LLC
Annual Report LLC Filed 2011-03-16 Annual Report LLC
Amendment Form Filed 2006-07-20 Amendment
Formation Form Filed 2004-08-12 Formation

Date of last update: 13 May 2025

Sources: Company Profile on Mississippi Secretary of State Website