| Name: | Grace Medical Equipment Inc dba grace healthcare |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 Jan 2013 (12 years ago) |
| Entity Number: | 000-062-116 |
| Register Number: | 000062116 |
| Historical Names: |
Grace Medical Equipment, Inc.
|
| Place of Formation: | Mobile County |
| Principal Address: | 3325 BARTLETT BLVDORLANDO, FL 32811 |
| Registered Office Street Address: | 444 SOUTH PERRY STREETMONTGOMERY, AL 36104-0347 |
| Authorized Capital: | 1 |
Activities
SALE OF DURABLE MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356687404 | 2012-12-18 | 2021-06-09 | 220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA, 194621437, US | 1212 MONTLIMAR DR, MOBILE, AL, 366091758, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 610-630-6357 |
| Phone | +1 228-863-3331 |
| Fax | 2288633392 |
Authorized person
| Name | MR. STEPHEN PAUL GRIGGS |
| Role | CEO / PRESIDENT |
| Phone | 4072060040 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 914 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009910265 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| GRIGGS, STEPHEN P | Director | 3325 BARTLETT BLVDORLANDO, FL 32811 |
| RUSSELL, JOSEPH P | Director | 3325 BARTLETT BLVDORLANDO, FL 32811 |
| Name | Role | Address |
|---|---|---|
| WOLF, DAVID | Incorporator | 1120 BROAD AVEGULFPORT, MS 39501 |
| Name | Role |
|---|---|
| RICHARD H GILL | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2013-03-07 | Name Change | Grace Medical Equipment, Inc. | Grace Medical Equipment Inc dba grace healthcare |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
