| Name: | Optum Infusion Services 207, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 Oct 1987 (37 years ago) |
| Entity Number: | 000-120-375 |
| Register Number: | 000120375 |
| Historical Names: |
Nutritional/Parenteral Home Care of Huntsville, Inc.
BriovaRx Infusion Services 207, Inc. |
| County: | Montgomery |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Authorized Capital: | $1,000 |
Activities
DRUGS
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HTD6C89NDJN7 | 2025-01-21 | 2650 LEEMAN FERRY ROAD, SUITE C, HUNTSVILLE, AL, 35801, 6532, USA | 2650 LEEMAN FERRY RD SW, HUNTSVILLE, AL, 35801, 6531, USA | |||||||||||||||||||||||||||||||||||||
|
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| Congressional District | 05 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-01-24 |
| Initial Registration Date | 2022-10-07 |
| Entity Start Date | 1987-10-30 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621610 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RAY MCCASLIN |
| Address | PO BOX 9472, MINNEAPOLIS, MN, 55440, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RAY MCCASLIN |
| Address | PO BOX 9472, MINNEAPOLIS, MN, 55440, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053488122 | 2006-11-30 | 2024-02-13 | 11000 OPTUM CIR STE 100, EDEN PRAIRIE, MN, 553442503, US | 6767 OLD MADISON PIKE NW STE 305, HUNTSVILLE, AL, 358062173, US | |||||||||||||||||||||||||
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| Phone | +1 800-328-5979 |
| Phone | +1 800-264-6742 |
| Fax | 8442048054 |
Authorized person
| Name | KEVIN EUGENE BURR |
| Role | SECRETARY |
| Phone | 7123104701 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role |
|---|---|
| BUCKLE, THOMAS F | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-09-10 | Name Change | BriovaRx Infusion Services 207, Inc. | Optum Infusion Services 207, Inc. |
| 2017-07-07 | Name Change | Nutritional/Parenteral Home Care of Huntsville, Inc. | BriovaRx Infusion Services 207, Inc. |
| 1987-11-02 | Name Merged | No data | Nutritional Home Care of Huntsville, Inc. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
