Name: | Rainbow HealthCare LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 13 Mar 2008 (17 years ago) (Companies founded in March 2008) |
Entity Number: | 000-256-597 |
Register Number: | 000256597 |
Historical Names: |
Rainbow HealthCare, P.C.
|
ZIP code: | 35907 (Companies in Etowah, 35907) |
County: | Etowah |
Place of Formation: | Etowah County |
Registered Office Street Address: | 1940 SHEILA AVESOUTHSIDE, AL 35907 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699948000 | 2008-04-07 | 2017-03-06 | PO BOX 458, GADSDEN, AL, 359020458, US | 309 W GRAND AVE, RAINBOW CITY, AL, 359063241, US | |||||||||||||||||||||||||||||||
|
Phone | +1 256-442-6400 |
Fax | 2564420059 |
Authorized person
Name | DR. ADAM M. ALTERMAN |
Role | OWNER |
Phone | 2564426400 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | 28495 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 009914148 |
State | AL |
Issuer | MEDICARE |
Number | 510I080086 |
State | AL |
Name | Role | Address |
---|---|---|
ROACH, CHRIS | Agent | 1924 GUNTER AVEGUNTERSVILLE, AL 35976 |
Name | Role | Address |
---|---|---|
ROACH, CHRIS | Organizer | 1924 GUNTER AVEGUNTERSVILLE, AL 35976 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2017-06-26 | Name Change | Rainbow HealthCare, P.C. | Rainbow HealthCare LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State