| Name: | Alabama Home Respiratory, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 18 Aug 1995 (29 years ago) (Companies founded in August 1995) |
| Entity Number: | 000-173-815 |
| Register Number: | 000173815 |
| ZIP code: | 36744 (Companies in Hale, 36744) |
| County: | Hale |
| Place of Formation: | Hale County |
| Principal Address: | GREENSBORO, AL |
| Registered Office Street Address: | 806 MAIN STGREENSBORO, AL 36744 |
| Authorized Capital: | 100 |
| Paid Share Capital: | $1,000 |
Activities
PURCHASE/SALE OF MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225158926 | 2007-03-29 | 2009-10-08 | 1207 MAIN ST, GREENSBORO, AL, 367441502, US | 1207 MAIN ST, GREENSBORO, AL, 367441502, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 334-624-0511 |
| Fax | 3346240509 |
Authorized person
| Name | SONJA JOCKISCH-DAVIS |
| Role | PRESIDENT/ RESPIRATORY THERAPIST |
| Phone | 3346240511 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 692 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009600290 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 510 50306 |
| State | AL |
| Name | Role |
|---|---|
| DAVIS, SONJA J | Agent |
| Name | Role |
|---|---|
| BROUSSARD, JACQUELINE | Incorporator |
| DAVIS, SONJA J | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
