| Name: | CHAMPION HOME CARE LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 24 Apr 2012 (13 years ago) |
| Date of dissolution: | 06 Apr 2021 |
| Entity Number: | 000-032-324 |
| Register Number: | 000032324 |
| Historical Names: |
Jim Myers Home Care LLC
|
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | 15877 NORTHWIND CIRNORTHPORT, AL 35475 |
| Principal Address ZIP Code: | 35475 |
| Registered Office Street Address: | 2008 8TH STREETTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
Activities
SALE/RENTAL HOME MEDICAL EQUIPMENT/SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881956548 | 2012-06-08 | 2012-11-28 | 5980 OLD GREENSBORO RD STE C, TUSCALOOSA, AL, 354056226, US | 5980 OLD GREENSBORO RD STE C, TUSCALOOSA, AL, 354056226, US | |||||||||||||||
|
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| Phone | +1 205-556-9760 |
| Fax | 2055532150 |
Authorized person
| Name | BRADLEY DAVID CHAMPION |
| Role | OWNER |
| Phone | 2057991084 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6YDP8 | Active | Non-Manufacturer | 2013-08-19 | 2015-10-03 | No data | No data | |||||||||||||||
|
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| POC | BRADLEY D. CHAMPION |
| Phone | +1 205-556-9760 |
| Fax | +1 205-345-8201 |
| Address | 5980 OLD GREENSBORO RD STE C, TUSCALOOSA, AL, 35405 6226, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| CHAMPION, BRADLEY D | Agent |
| Name | Role | Address |
|---|---|---|
| CHAMPION, BRADLEY DAVID | Organizer | 15877 NORTHWIND CIRNORTHPORT, AL 35475 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2012-05-01 | Name Change | Jim Myers Home Care LLC | CHAMPION HOME CARE LLC |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
