Name: | Main and Associates, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 08 Jul 1991 (33 years ago) (Companies founded in July 1991) |
Entity Number: | 000-146-083 |
Register Number: | 000146083 |
ZIP code: | 36089 (Companies in Bullock, 36089) |
County: | Bullock |
Place of Formation: | Bullock County |
Principal Address: | UNION SPRINGS, AL |
Registered Office Street Address: | 745 SOUTHERN SPRINGS ROADUNION SPRINGS, AL 36089 |
Authorized Capital: | $1,000 |
Paid Share Capital: | ---- |
Activities
DOMICILIARY CARE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609872290 | 2005-06-28 | 2011-03-07 | 745 SOUTHERN SPRINGS RD, UNION SPRINGS, AL, 360896643, US | 745 SOUTHERN SPRINGS RD, UNION SPRINGS, AL, 360896643, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 334-738-5590 |
Fax | 3347382460 |
Authorized person
Name | MRS. KRISTY TANNER |
Role | ADMINISTRATOR |
Phone | 3347385590 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 10469 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD |
Number | 010587 |
State | AL |
Issuer | MEDICAID |
Number | 4753450S |
State | AL |
Issuer | MEDICAID |
Number | 009812400 |
State | AL |
Name | Role | Address |
---|---|---|
WHITMER, WILLIAM | Incorporator | No data |
MAIN, BENJAMIN GORDON | Incorporator | No data |
MAIN, JOHN THOMAS | Incorporator | 18225 HIGHWAY 82UNION SPRINGS, AL 36089 |
EMFINGER, BRENDA F | Incorporator | No data |
RUMP, WILBERT MD | Incorporator | No data |
Name | Role | Address |
---|---|---|
MAIN, BENJAMIN G SR | Agent | 309 HILL N DALEUNION SPRINGS, AL 36089 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State