| Name: | Modern Medical Concepts Homecare, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 26 Jul 1996 (28 years ago) (Companies founded in July 1996) |
| Entity Number: | 000-181-260 |
| Register Number: | 000181260 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 2601 RAINBOW DRGADSDEN, AL 35901 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | -- |
Activities
OPERATE A HOME HEALTH CARE FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023770476 | 2021-10-12 | 2021-10-12 | 110 MMC PKWY, RAINBOW CITY, AL, 359065852, US | 128 N BROAD ST, ALBERTVILLE, AL, 359501722, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-442-5225 |
| Fax | 2564425228 |
| Phone | +1 256-849-0226 |
| Fax | 2568490729 |
Authorized person
| Name | JOSEPH EUGENE KLEINKLAUS |
| Role | PHARMACIST |
| Phone | 2564425225 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000033903 |
| State | AL |
| Name | Role |
|---|---|
| PARKER, DUDLEY | Agent |
| Name | Role |
|---|---|
| PARKER, DUDLEY | Incorporator |
| SILVEY, SHERRY | Incorporator |
| PETTITT, TRACY | Incorporator |
| KLEINKLAUS, JOEY | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
