| Name: | Hospice of Northwest Alabama |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 18 Sep 1992 (32 years ago) (Companies founded in September 1992) |
| Entity Number: | 000-074-904 |
| Register Number: | 000074904 |
| ZIP code: | 35594 (Companies in Marion, 35594) |
| County: | Marion |
| Place of Formation: | Marion County |
| Registered Office Street Address: | 117 NORTH MAIN STREET PO BOX 548WINFIELD, AL 35594 |
Activities
PROVIDE SUPPORTIVE SERVICES FOR DYING PERSONS & THEIR FAMILY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902904568 | 2006-09-20 | 2011-10-19 | PO BOX 1216, WINFIELD, AL, 355941216, US | 1315 US HIGHWAY 43, WINFIELD, AL, 355945053, US | |||||||||||||||||||||||||
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| Phone | +1 205-487-8140 |
| Fax | 2054878740 |
Authorized person
| Name | MRS. DIANNA HAMILTON CANTRELL |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2054878140 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 11706 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1534E |
| State | AL |
| Name | Role |
|---|---|
| SEWELL, LINDA | Agent |
| Name | Role |
|---|---|
| SEWELL, LINDA | Incorporator |
| FARRIS, GINGER | Incorporator |
| PALMER, SUE | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
