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HOMEWARD HEALTH CARE LLC

Details

Name: HOMEWARD HEALTH CARE LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jul 2012 (12 years ago) (Companies founded in July 2012)
Entity Number: 000-071-353
Register Number: 000071353
Place of Formation: Jefferson County
Principal Address: 5501 SCOUT CREEK DRIVEHOOVER, AL 35244-3900

Activities PROVIDE HEALTH CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861871071 2015-05-20 2015-06-05 5501 SCOUTCREEK DRIVE, BIRMINGHAM, AL, 35244, US 5501 SCOUTCREEK DRIVE, BIRMINGHAM, AL, 35244, US

Contacts

Phone +1 334-322-1730
Fax 2057470519

Authorized person

Name MR. CLEMENT E EBIO
Role BILLING MANAGER
Phone 2055630307

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number 27555
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAL LIC
Number 27555
State AL

Agent

Name Role Address
DAWODU, OLUDAYO Agent 5501 SCOUT CREEK DRIVEHOOVER, AL 35244-3900

Member

Name Role Address
Oludayo Dawodu and Abosede Dawodu as Co-Trustees of the Dawodu Family Trust dated September 19, 2023 Member 5501 Scout Creek DriveBirmingham, AL 35244

Organizer

Name Role Address
DAWODU, OLUDAYO Organizer 5501 SCOUT CREEK DRIVEHOOVER, AL 35244-3900

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State