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Belhaven Senior Care, LLC

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Company Details

Name: Belhaven Senior Care, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Feb 2007 (18 years ago)
Business ID: 906297
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 125 Fountains BlvdMadison, MS 39110
Fictitious names: The Madison Health & Rehab

Agent

Name Role Address
S. Mark Wann -- Maxey Wann, PLLC Agent 401 E. Capitol Street, Suite 200, Jackson, MS 39201

Manager

Name Role Address
Charles Bruce Kelly Manager 125 Fountains Blvd, Madison, MS 39110

National Provider Identifier

NPI Number:
1518159862

Authorized Person:

Name:
MATTHEW CORLEY WAGNER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6018986348

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-24 Annual Report For Belhaven Senior Care, LLC
Annual Report LLC Filed 2024-03-15 Annual Report For Belhaven Senior Care, LLC
Annual Report LLC Filed 2023-02-13 Annual Report For Belhaven Senior Care, LLC
Amendment Form Filed 2023-02-13 Amendment For Belhaven Senior Care, LLC
Amendment Form Filed 2022-02-01 Amendment For Belhaven Senior Care, LLC
Fictitious Name Registration Filed 2022-01-18 Fictitious Name Registration For Belhaven Senior Care, LLC
Annual Report LLC Filed 2022-01-18 Annual Report For Belhaven Senior Care, LLC
Annual Report LLC Filed 2021-04-21 Annual Report For Belhaven Senior Care, LLC
Amendment Form Filed 2021-04-19 Amendment For Belhaven Senior Care, LLC
Annual Report LLC Filed 2020-02-12 Annual Report For Belhaven Senior Care, LLC

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website