| Name: | ABC Hospice, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 05 Apr 2007 (18 years ago) (Companies founded in April 2007) |
| Entity Number: | 000-252-086 |
| Register Number: | 000252086 |
| ZIP code: | 35968 (Companies in De Kalb, 35968) |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Principal Address: | RAINSVILLE, AL |
| Registered Office Street Address: | 266 INDUSTRIAL DR STE ARAINSVILLE, AL 35968 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225083660 | 2006-05-24 | 2010-03-15 | 266 INDUSTRIAL DR, P O BOX 1486, RAINSVILLE, AL, 359864462, US | 266 INDUSTRIAL DR, SUITE A, RAINSVILLE, AL, 359864462, US | |||||||||||||||||||||||||
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| Phone | +1 256-638-3491 |
| Fax | 8664792227 |
Authorized person
| Name | KEITH BARRON SANDERSON |
| Role | CEO PRESIDENT |
| Phone | 2566383491 |
Taxonomy
| Taxonomy Code | 163WH1000X - Hospice Registered Nurse |
| License Number | 11163 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1626E |
| State | AL |
| Name | Role |
|---|---|
| SANDERSON, KEITH B | Agent |
| Name | Role |
|---|---|
| SANDERSON, KEITH B | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
