Name: | Advanced Home Care, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 15 Apr 1993 (32 years ago) (Companies founded in April 1993) |
Entity Number: | 000-156-150 |
Register Number: | 000156150 |
ZIP code: | 35901 (Companies in Etowah, 35901) |
County: | Etowah |
Place of Formation: | Etowah County |
Principal Address: | GADSDEN, AL |
Registered Office Street Address: | 302 BAY STREETGADSDEN, AL 35901 |
Authorized Capital: | $1,000 |
Paid Share Capital: | $1,000 |
Activities
SELL & LEASE HOME HEALTH CARE EQUIPMENT & SUPPLIES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750399762 | 2006-08-04 | 2012-02-01 | PO BOX 27, GADSDEN, AL, 35902, US | 302 BAY ST, GADSDEN, AL, 35901, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 256-549-0630 |
Fax | 2565490633 |
Authorized person
Name | MRS. JUDY K CAMPBELL |
Role | CEO |
Phone | 2565490630 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
State | AL |
Is Primary | Yes |
Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
State | AL |
Is Primary | No |
Other Provider Identifiers
Issuer | BCBS |
Number | 51057837 |
State | AL |
Issuer | BCBS IV |
Number | 51516374 |
State | AL |
Issuer | MEDICAID |
Number | 100002920 |
State | AL |
Issuer | MEDICAID |
Number | 009943212 |
State | AL |
Issuer | NCPDP |
Number | 0128769 |
State | AL |
Name | Role |
---|---|
CAMPBELL, JUDY K | Agent |
Name | Role |
---|---|
CAMPBELL, JUDY K | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State