| Name: | House Call, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Dec 2012 (12 years ago) (Companies founded in December 2012) |
| Entity Number: | 000-270-925 |
| Register Number: | 000270925 |
| Historical Names: |
House Callz LLC
|
| ZIP code: | 36726 (Companies in Wilcox, 36726) |
| County: | Wilcox |
| Place of Formation: | Wilcox County |
| Registered Office Street Address: | 810 NICHOLSON ROADCOY, AL 36435 |
| Principal Mailing Address: | 6713 RIDGELAND ROAD SMOBILE, AL 36695 |
| Principal Address: | 605 FIRST STREET WCAMDEN, AL 36726 |
Activities
MEDICAL/HOME-HEALTH CARE/COMPANION/NON-EMERGENCY MEDICAL TRANS
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YFENTWJBQJ99 | 2022-06-16 | 605 1ST ST W, CAMDEN, AL, 36726, 1901, USA | 605 FIRST ST W, CAMDEN, AL, 36726, 1901, USA | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||
| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-05-25 |
| Initial Registration Date | 2021-04-05 |
| Entity Start Date | 2012-12-12 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111, 621399, 621610, 621999, 623110, 623210, 623220, 623311, 623312, 623990, 624120, 812199, 812990, 813319 |
| Product and Service Codes | G005, Q201, Q401, Q402, R699 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TRINA NICHOLSON |
| Address | 605 FIRST ST, CAMDEN, AL, 36726, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TORRENCE L NICHOLSON |
| Role | DR. |
| Address | 605 FIRST ST, CAMDEN, AL, 36726, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750727582 | 2013-05-20 | 2022-07-21 | 950 DAUPHIN ST STE B, MOBILE, AL, 366042532, US | 950 DAUPHIN ST STE B, MOBILE, AL, 366042532, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 251-589-7111 |
| Fax | 2513821936 |
Authorized person
| Name | MRS. TRINA LARAY NICHOLSON |
| Role | OFFICE MANAGER |
| Phone | 2515897111 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD29760 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | MD29760 |
| Is Primary | No |
| Taxonomy Code | 2083P0901X - Public Health & General Preventive Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | MD29760 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261QM1000X - Migrant Health Clinic/Center |
| License Number | MD29760 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 149591 |
| State | AL |
| Name | Role |
|---|---|
| DR BARRY NICHOLSON MD LLC | Agent |
| Name | Role | Address |
|---|---|---|
| NICHOLSON, TORRENCE L | Organizer | 810 NICHOLSON ROADCOY, AL 36435 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-10-20 | Name Change | House Callz LLC | House Call, LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
