Name: | Clear Choice Home Medical Equipment & Supplies, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 22 Apr 2005 (20 years ago) |
Entity Number: | 000-241-080 |
Register Number: | 000241080 |
County: | Morgan |
Place of Formation: | Morgan County |
Principal Address: | DECATUR, AL |
Registered Office Street Address: | 2010 BRAYDEN DRIVE S WDECATUR, AL 35603 |
Registered Office Street Address ZIP Code: | 35603 |
Authorized Capital: | $10,000 |
Activities
OPERATE/SELL/CONDUCT/MAINTAIN MEDICAL SUPPLIES/EQUIPMENT
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164527578 | 2006-09-13 | 2012-09-18 | 2828 HWY 31 SOUTH, SUITE 130, DECATUR, AL, 35603, US | 2828 HWY 31 SOUTH, SUITE 130, DECATUR, AL, 35603, US | |||||||||||||||||||||||||||||||
|
Phone | +1 256-350-5638 |
Fax | 2563505962 |
Authorized person
Name | MRS. SENTHIA D SAWYER |
Role | OWNER - MANAGER |
Phone | 2563505638 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 651 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS |
Number | 51529482 |
State | AL |
Issuer | MEDICAID |
Number | 009932926 |
State | AL |
Name | Role |
---|---|
OSBORN, GINA | Agent |
Name | Role |
---|---|
OSBORN, GINA | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State