| Name: | Lobo Home Health, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 28 Jul 1982 (42 years ago) |
| Entity Number: | 000-088-266 |
| Register Number: | 000088266 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Registered Office Street Address: | 133 WOODS COVE ROADSCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
| Registered Office Mailing Address: | P.O. BOX 366SCOTTSBORO, AL 35768 |
| Registered Office Mailing Address ZIP Code: | 35768 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $5,000 |
Activities
PROVIDE HOME HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437208261 | 2007-01-10 | 2018-08-17 | 133 WOODS COVE RD, SCOTTSBORO, AL, 357682460, US | 133 WOODS COVE RD, SCOTTSBORO, AL, 35768, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 256-259-3123 |
| Fax | 2562591498 |
Authorized person
| Name | JOSH MILLER |
| Role | OWNER |
| Phone | 2562593123 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 119 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000054007 |
| State | AL |
| Issuer | BLUE CROSS PROVIDER NUMBE |
| Number | 51054007 |
| State | AL |
| Name | Role |
|---|---|
| MILLER, JOSH | Agent |
| Name | Role |
|---|---|
| PORCH, LON | Incorporator |
| MATTHEWS, ROBERT H JR | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
