| Name: | Good Samaritan Hospice of Madison, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 10 Aug 2006 (18 years ago) |
| Entity Number: | 000-248-633 |
| Register Number: | 000248633 |
| Historical Names: |
Good Samaritan Hospice of Madison, Inc.
Good Samaritan Hospice of Winston, Inc. |
| County: | Madison |
| Place of Formation: | Colbert County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Principal Address: | 540 HUGHES ROAD, SUITE 12MADISON, AL 35758 |
| Principal Address ZIP Code: | 35758 |
| Authorized Capital: | 1000 @ $.01PV |
Activities
PROVIDE HOSPICE CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639202435 | 2007-03-13 | 2024-03-12 | 135 GEMINI CIR STE 202, BIRMINGHAM, AL, 352095842, US | 540 HUGHES RD, SUITE 12, MADISON, AL, 357588999, US | |||||||||||||||||||||||
|
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| Phone | +1 205-949-0400 |
| Fax | 2059490405 |
| Phone | +1 256-767-4799 |
| Fax | 2567674798 |
Authorized person
| Name | RICK CANTRELL |
| Role | CEO |
| Phone | 2059490400 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 78274 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| GIST, RANDY | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2010-08-11 | Name Change | Good Samaritan Hospice of Winston, Inc. | Good Samaritan Hospice of Madison, Inc. |
| 2008-01-29 | Name Change | Good Samaritan Hospice of Madison, Inc. | Good Samaritan Hospice of Winston, Inc. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
