| Name: | Coastal Hospice Care, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Oct 2004 (20 years ago) |
| Entity Number: | 000-237-643 |
| Register Number: | 000237643 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | SARALAND, AL |
| Registered Office Street Address: | 313 CAMELOT STSARALAND, AL 36571 |
| Registered Office Street Address ZIP Code: | 36571 |
| Authorized Capital: | $100 |
Activities
HOME HOSPICE/HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457353765 | 2005-06-01 | 2020-08-22 | 90 MCKEOUGH AVE, SARALAND, AL, 365713227, US | 90 MCKEOUGH AVE, SARALAND, AL, 365713227, US | |||||||||||||||||||
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| Phone | +1 251-675-0012 |
| Fax | 2516753303 |
Authorized person
| Name | MR. WILLIAM MONTE ELLIOTT |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2516750012 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 11164 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COASTAL HOSPICE CARE 401K PLAN | 2010 | 320127968 | 2011-02-15 | COASTAL HOSPICE CARE | 10 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 320127968 |
| Plan administrator’s name | COASTAL HOSPICE CARE |
| Plan administrator’s address | 90 MCKEOUGH AVE., SARALAND, AL, 36571 |
| Administrator’s telephone number | 2516750012 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-15 |
| Name of individual signing | JOAN SIMISON |
| Role | Employer/plan sponsor |
| Date | 2011-02-15 |
| Name of individual signing | JOAN SIMISON |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2516750012 |
| Plan sponsor’s address | 90 MCKEOUGH AVE., SARALAND, AL, 36571 |
Plan administrator’s name and address
| Administrator’s EIN | 320127968 |
| Plan administrator’s name | COASTAL HOSPICE CARE |
| Plan administrator’s address | 90 MCKEOUGH AVE., SARALAND, AL, 36571 |
| Administrator’s telephone number | 2516750012 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-30 |
| Name of individual signing | JOAN SIMISON |
| Role | Employer/plan sponsor |
| Date | 2010-09-30 |
| Name of individual signing | JOAN SIMISON |
| Name | Role |
|---|---|
| SIMISON, JOAN M | Agent |
| Name | Role |
|---|---|
| SIMISON, JOAN M | Incorporator |
| VON HAPSBURG, DANE | Incorporator |
| ELLIOTT, WILLIAM | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
