| Name: | CareGivers of Pleasant Grove, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 17 Aug 1994 (30 years ago) (Companies founded in August 1994) |
| Entity Number: | 000-166-109 |
| Register Number: | 000166109 |
| Historical Names: |
ConsultAmerica Cottage Hills, Inc.
|
| ZIP code: | 35565 (Companies in Winston, 35565) |
| County: | Winston |
| Place of Formation: | Winston County |
| Principal Address: | HALEYVILLE, AL |
| Registered Office Street Address: | 41899 HWY 195HALEYVILLE, AL 35565 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
ANY LAWFUL ACTIVITY
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EKAVXF2JZLQ4 | 2025-04-09 | 700 1ST AVE, PLEASANT GROVE, AL, 35127, 1915, USA | 700 1ST AVE, PLEASANT GROVE, AL, 35127, 1915, USA | |||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-10 |
| Initial Registration Date | 2023-08-17 |
| Entity Start Date | 1994-08-09 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TAMMY CARTER |
| Role | CORPORATE BILLING SPECIALIST |
| Address | 700 1ST AVE, PLEASANT GROVE, AL, 35127, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TAMMY CARTER |
| Role | CORPORATE BILLING SPECIALIST |
| Address | 700 1ST AVE, PLEASANT GROVE, AL, 35127, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902804883 | 2005-07-13 | 2011-01-31 | 41899 HIGHWAY 195, HALEYVILLE, AL, 355657056, US | 700 1ST AVE, PLEASANT GROVE, AL, 351271915, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-486-2558 |
| Fax | 8882580375 |
| Phone | +1 205-744-8120 |
| Fax | 2057448285 |
Authorized person
| Name | MS. LISA A BECKMANN |
| Role | CORPORATE ACCOUNTS MANAGER |
| Phone | 2054862558 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10545 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4757280S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CHURCH, JOE | Agent | 41899 HIGHWAY 195HALEYVILLE, AL 35565 |
| Name | Role |
|---|---|
| CHURCH, GENE | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2010-04-27 | Name Change | ConsultAmerica Cottage Hills, Inc. | CareGivers of Pleasant Grove, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
