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Hands of Hope Health Care Center

Details

Name: Hands of Hope Health Care Center
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 19 Dec 2011 (13 years ago)
Entity Number: 000-034-314
Register Number: 000034314
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 6629 RED MAPLE DRMOBILE, AL 36618
Registered Office Street Address ZIP Code: 36618
Principal Address: 3408A BELTLINE PARK DR NMOBILE, AL 36617
Principal Address ZIP Code: 36617

Activities CHARITABLE
RELIGIOUS
EDUCATIONAL
AND SCIENTIFI PURPOSES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487923520 2011-12-19 2023-10-06 4625 MOFFETT RD., MOBILE, AL, 36618, US 4625 MOFFETT RD., MOBILE, AL, 36618, US

Contacts

Phone +1 251-287-6146
Fax 2512876154

Authorized person

Name MS. CYNTHIA JACKSON
Role ADMINISTRATOR
Phone 2512876146

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 135152
State AL
Issuer INDIVIDUAL NPI
Number 1306875828
State AL
Issuer MEDICAID
Number 135146
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 51123471
State AL
Issuer ALABAMA LICENSE
Number 1059384
State AL

Agent

Name Role Address
WASHINGTON, CYNTHIA Agent 6629 RED MAPLE DRMOBILE, AL 36618

Director

Name Role Address
BULLOCK, ANTONINETTE Director 6601 RED MAPLE DRMOBILE, AL 36618
TAYLOR, MAGGIE Director 1356 MELROSE STMOBILE, AL 36606
WASHINGTON, CYNTHIA Director 6629 RED MAPLE DRMOBILE, AL 36618

Incorporator

Name Role Address
WASHINGTON, CYNTHIA Incorporator 6629 RED MAPLE DRMOBILE, AL 36618

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State