| Name: | Professional Med Health LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 May 2013 (12 years ago) |
| Entity Number: | 000-279-635 |
| Register Number: | 000279635 |
| County: | Mobile |
| Place of Formation: | Montgomery County |
| Principal Address: | 2559 MAGNOLIA GRANDE DRMOBILE, AL 36618 |
| Principal Address ZIP Code: | 36618 |
| Registered Office Street Address: | 4037 US 231 STE AWETUMPKA, AL 36093 |
| Registered Office Street Address ZIP Code: | 36093 |
Activities
HOME HEALTH CARE AND CARE MANAGEMENT SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417317488 | 2016-03-03 | 2016-03-03 | 1157 INVERNESS COVE WAY, BIRMINGHAM, AL, 35242, US | 1157 INVERNESS COVE WAY, BIRMINGHAM, AL, 352424258, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 251-298-0917 |
| Fax | 2057470133 |
Authorized person
| Name | MIRANDA DAVIS |
| Role | CLINICAL MANAGER/OWNER |
| Phone | 2512980917 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7KKN6 | Active | Non-Manufacturer | 2016-03-07 | 2021-12-16 | 2022-01-15 | No data | |||||||||||||
|
|||||||||||||||||||
| POC | MIRANDA DAVIS |
| Phone | +1 251-298-0917 |
| Address | 1157 INVERNESS COVE WAY, BIRMINGHAM, AL, 35242 4258, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| INCORP SERVICES INC | Agent | 3773 HOWARD HUGHES PKWY SUITE 500SLAS VEGAS, NV 89169 |
| Name | Role | Address |
|---|---|---|
| POWE, SHAWNTAVIA LATRICE | Organizer | 1406 HAMPTON PARK DRHOOVER, AL 36216 |
| DAVIS, MIRANDA | Organizer | 1157 INVERNESS COVE WAYBIRMINGHAM, AL 35242 |
| POWE, SHAWNTAVIA | Organizer | 113 LANTANA CIRCLEPELHAM, AL 35124 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
