| Name: | Hope Hospice, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Aug 2002 (22 years ago) |
| Entity Number: | 000-224-438 |
| Register Number: | 000224438 |
| Historical Names: |
Hope Hospice, Incorporated
|
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | 651 MAIN STREETGARDENDALE, AL 35701 |
| Registered Office Street Address: | 2 N JACKSON ST #605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
HEALTHCARE TREATMENT FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649279050 | 2005-07-18 | 2023-11-01 | 187 N CHURCH ST STE 201, SPARTANBURG, SC, 293065154, US | 651 MAIN ST STE 159, GARDENDALE, AL, 350712793, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 800-932-2738 |
| Fax | 8888479306 |
| Phone | +1 205-583-4673 |
| Fax | 2053162833 |
Authorized person
| Name | PAMELA DUNCAN |
| Role | CCO |
| Phone | 8009322738 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 10231 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS BLUESHIELD |
| Number | 012-433 |
| State | AL |
| Issuer | MEDICAID |
| Number | PIC1591E |
| State | AL |
| Name | Role |
|---|---|
| CT CORPORATION | Agent |
| Name | Role | Address |
|---|---|---|
| ACG ACQUISITION, LLC | Member | 187 N. CHURCH ST. SUITE 201SPARTANBURG, SC 29306 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-06-16 | Name Change | Hope Hospice, Incorporated | Hope Hospice, LLC |
| 2007-08-02 | Capital Change | 100 Authorized --- Paid In | undefined Authorized undefined Paid In |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
