| 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) (Companies founded in December 2011) |
| Entity Number: | 000-034-314 |
| Register Number: | 000034314 |
| ZIP code: | 36617 (Companies in Mobile, 36617) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 6629 RED MAPLE DRMOBILE, AL 36618 |
| Principal Address: | 3408A BELTLINE PARK DR NMOBILE, AL 36617 |
Activities
CHARITABLE
RELIGIOUS
EDUCATIONAL
AND SCIENTIFI PURPOSES
| 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 | |||||||||||||||||||||||||||||||||||||||||||||||
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| 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 |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6PFW7 | Obsolete | Non-Manufacturer | 2012-03-20 | 2022-03-16 | 2022-03-15 | No data | |||||||||||||||
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| POC | CYNTHIA WASHINGTON |
| Phone | +1 251-287-6146 |
| Fax | +1 251-287-6154 |
| Address | 3408 STE A BELTLINE PARK DR N, MOBILE, AL, 36617 1539, 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 | Address |
|---|---|---|
| WASHINGTON, CYNTHIA | Agent | 6629 RED MAPLE DRMOBILE, AL 36618 |
| 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 |
| Name | Role | Address |
|---|---|---|
| WASHINGTON, CYNTHIA | Incorporator | 6629 RED MAPLE DRMOBILE, AL 36618 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
