| Name: | Horizons Hospice Care, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 May 2004 (21 years ago) (Companies founded in May 2004) |
| Entity Number: | 000-235-061 |
| Register Number: | 000235061 |
| Historical Names: |
Horizons Hospice Care, Inc.
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 5959 S SHERWOOD FOREST BOULEVARDBATON ROUGE, LA 70816 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
HOSPICE CARE/TREATMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932152113 | 2006-05-18 | 2016-09-29 | 3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA, 708164013, US | 8160 DECKER LANE, MONTGOMERY, AL, 361174251, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 225-292-2031 |
| Fax | 2252959678 |
| Phone | +1 334-395-7789 |
| Fax | 3343957882 |
Authorized person
| Name | MR. PAUL KUSSEROW |
| Role | PRESIDENT |
| Phone | 2252922031 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 004164 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | E5107 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD AL |
| Number | 012511 |
| State | AL |
| Issuer | MEDICAID |
| Number | PIC1623E |
| State | AL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PEIFFER, CELESTE | Organizer | 5959 S SHERWOOD FOREST BOULEVARDBATON ROUGE, LA 70816 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2013-06-25 | Name Change | Horizons Hospice Care, Inc. | Horizons Hospice Care, L.L.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
