| Name: | dp HOME HEALTH CARE ASSOCIATES, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 07 Oct 1985 (39 years ago) |
| Date of dissolution: | 18 Aug 2020 |
| Entity Number: | 000-106-491 |
| Register Number: | 000106491 |
| County: | Mobile |
| Place of Formation: | Baldwin County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 2168 ST STEPHENS RDMOBILE, AL 36617 |
| Registered Office Street Address ZIP Code: | 36617 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL EQUIPMENT & SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609919265 | 2007-02-14 | 2013-05-22 | PO BOX 1342, MOBILE, AL, 366331342, US | 2168 A ST. STEPHENS ROAD, MOBILE, AL, 366173732, US | |||||||||||||||||||||||||||||||
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| Phone | +1 251-471-2113 |
| Fax | 2514761672 |
Authorized person
| Name | MR. DONALD L. PONQUINETTE |
| Role | PRESIDENT |
| Phone | 2514712113 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 118 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000054625 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51054625 |
| State | AL |
| Name | Role |
|---|---|
| PONQUINETTE, DONALD | Agent |
| Name | Role |
|---|---|
| PONQUINETTE, DONALD | Incorporator |
| PONQUINETTE INC | Incorporator |
| PONQUINETTE, CRYSTAL ANN | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
