Name: | A & E Hospice Care, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 27 Apr 2001 (24 years ago) |
Entity Number: | 000-216-140 |
Register Number: | 000216140 |
County: | Lauderdale |
Place of Formation: | Lauderdale County |
Principal Address: | FLORENCE, AL |
Registered Office Street Address: | 235 AZALEA DRIVEFLORENCE, AL 35630 |
Registered Office Street Address ZIP Code: | 35630 |
Authorized Capital: | 1,000 NPV |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164473781 | 2006-05-16 | 2008-06-30 | PO BOX 1332, FLORENCE, AL, 356311332, US | 235 AZALEA DR, FLORENCE, AL, 356301741, US | |||||||||||||||||||||||||
|
Phone | +1 256-764-5579 |
Fax | 2567647873 |
Authorized person
Name | CHARLES A EDDINS |
Role | OWNER |
Phone | 2567645579 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | P0016 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | PIC1585E |
State | AL |
Name | Role |
---|---|
EDDINS, CHARLES ANDREW | Agent |
Name | Role |
---|---|
EDDINS, CHARLES ANDREW | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State