| Name: | Anniston Health & Sickroom Supplies, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Dec 1976 (48 years ago) |
| Entity Number: | 000-044-106 |
| Register Number: | 000044106 |
| County: | Montgomery |
| Place of Formation: | Calhoun County |
| Principal Address: | 3600 VINELAND ROAD STE 114ORLANDO, FL 32811 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Authorized Capital: | $17,500 |
| Paid Share Capital: | $15,000 |
Activities
HOSPITAL AND HEALTH EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295715167 | 2006-01-18 | 2024-01-17 | PO BOX 27968, SALT LAKE CITY, UT, 841270968, US | 171 TOWN CENTER DR, MPS 10, ANNISTON, AL, 362054102, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-246-1226 |
| Fax | 4076482297 |
| Phone | +1 256-820-7766 |
| Fax | 2568207778 |
Authorized person
| Name | MRS. ROBIN L MENCHEN |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 4078224600 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000077705 |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| NELSON, DAVID | Incorporator | 108 PALOS VERDES DRTROY, AL 36079 |
| OSSINK, NANCY | Incorporator | No data |
| CHAMP, DENNIS | Incorporator | No data |
| LANGLEY, DELOIS | Incorporator | No data |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2006-12-18 | Name Merged | No data | Infusion Services, Inc. |
| 2006-12-18 | Name Merged | No data | Wofford Pharmaceutical Services, Inc. |
| 2006-11-30 | Name Merged | No data | Baumann Pharmaceutical Services, Inc. |
| 1977-01-21 | Capital Change | $15,000 Authorized $15,000 Paid In | $17,500 Authorized $15,000 Paid In |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
