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Complete Care, Inc.

Details

Name: Complete Care, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 13 Dec 1984 (40 years ago) (Companies founded in December 1984)
Entity Number: 000-101-371
Register Number: 000101371
Historical Names: Jackson County Oxygen Services, Inc.
ZIP code: 35765 (Companies in Jackson, 35765)
County: Jackson
Place of Formation: Jackson County
Principal Address: PISGAH, AL
Registered Office Street Address: ROUTE 1PISGAH, AL 35765
Authorized Capital: $50,000
Paid Share Capital: $10,000

Activities HOME HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831121623 2006-07-06 2009-09-23 202 PARKS AVE, SCOTTSBORO, AL, 357682506, US 202 PARKS AVE, SCOTTSBORO, AL, 357682506, US

Contacts
Phone +1 256-259-0202
Fax 2562596692

Authorized person
Name LEIGH ANN MATTHEWS
Role MANAGER
Phone 2568450883

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 102
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS OF ALABAMA
Number 56631
Issuer MEDICAID
Number 000056631
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMPLETE CARE, INC. 401(K) PLAN 2022 630897013 2024-04-19 COMPLETE CARE, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 359681611

Signature of
Role Plan administrator
Date 2024-04-19
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2022 630897013 2024-04-18 COMPLETE CARE, INC. 26
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 359681611

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2021 630897013 2023-06-28 COMPLETE CARE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 359681611

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2020 630897013 2022-03-02 COMPLETE CARE, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 35968

Signature of
Role Plan administrator
Date 2022-03-02
Name of individual signing LEIGH ANN MATTHEWS
Role Employer/plan sponsor
Date 2022-03-02
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2019 630897013 2021-04-09 COMPLETE CARE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 35968

Signature of
Role Plan administrator
Date 2021-04-09
Name of individual signing LEIGH ANN MATTHEWS
Role Employer/plan sponsor
Date 2021-04-09
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2018 630897013 2020-04-23 COMPLETE CARE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 35968

Signature of
Role Plan administrator
Date 2020-04-23
Name of individual signing LEIGH ANN MATTHEWS
Role Employer/plan sponsor
Date 2020-04-23
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2017 630897013 2019-05-17 COMPLETE CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address 503 GAULT AVE S, FORT PAYNE, AL, 35968

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing LEIGH ANN MATTHEWS
Role Employer/plan sponsor
Date 2019-05-17
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2016 630897013 2018-05-18 COMPLETE CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address PO BOX 681009, FORT PAYNE, AL, 35968

Signature of
Role Plan administrator
Date 2018-05-18
Name of individual signing LEIGH ANN MATTHEWS
Role Employer/plan sponsor
Date 2018-05-18
Name of individual signing LEIGH ANN MATTHEWS
COMPLETE CARE, INC. 401(K) PLAN 2015 630897013 2017-04-11 COMPLETE CARE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 446190
Sponsor’s telephone number 2568450883
Plan sponsor’s address PO BOX 681009, FORT PAYNE, AL, 35968

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing LEIGH ANN MATTHEWS
Role Employer/plan sponsor
Date 2017-04-11
Name of individual signing LEIGH ANN MATTHEWS

Agent

Name Role
MOORE, RICKEY L Agent

Incorporator

Name Role
MOORE, RICKEY L Incorporator
MOORE, ELIZABETH A Incorporator
JEFFERY, JOYCE Incorporator
MOORE, WAYLAND Incorporator

Events

Event Date Event Type Old Value New Value
1985-06-04 Name Change Jackson County Oxygen Services, Inc. Complete Care, Inc.

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V521PROSFY08173531021 2008-04-07 2008-04-07 2008-04-07
Unique Award Key CONT_AWD_V521PROSFY08173531021_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient COMPLETE CARE INC
UEI X2VVKK3Z3WL8
Legacy DUNS 173531021
Recipient Address UNITED STATES, 503 GAULT AVE S, FORT PAYNE, 359670000

Related by officers

No related officers

Related by address

PISGAH, AL

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ROUTE 1PISGAH, AL 35765

Westworld, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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