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Rainbow HealthCare LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ROACH, CHRIS Agent 1924 GUNTER AVEGUNTERSVILLE, AL 35976

Organizer

Name Role Address
ROACH, CHRIS Organizer 1924 GUNTER AVEGUNTERSVILLE, AL 35976

Events

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