| Name: | Camellia Hospice of Northeast Alabama LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Jan 2014 (11 years ago) |
| Entity Number: | 000-295-988 |
| Register Number: | 000295988 |
| County: | Shelby |
| Place of Formation: | Etowah County |
| Principal Address: | 135 MAYFAIR ROADHATTIESBURG, MS 39402 |
| Principal Mailing Address: | PO BOX 1267HATTIESBURG, MS 39403 |
| Registered Office Street Address: | 4000 EAGLE POINT CORPORATE DRIVEBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
Activities
HOME HEALTH CARE/RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750792024 | 2014-05-08 | 2022-07-06 | 6688 N CENTRAL EXPY STE 1300, DALLAS, TX, 752063950, US | 101 CHURCH ST STE A, RAINBOW CITY, AL, 359066242, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 214-239-6500 |
| Fax | 2142396581 |
| Phone | +1 256-467-3568 |
| Fax | 2564429648 |
Authorized person
| Name | CRISSY BUCHANAN CARLISLE |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 2142396500 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1803766 | 9001 LIBERTY PARKWAY, BIRMINGHAM, AL, 35242 | 9001 LIBERTY PARKWAY, BIRMINGHAM, AL, 35242 | 2059677116 | |||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||
| Form type | 424B5 |
| File number | 333-248942-168 |
| Filing date | 2020-10-01 |
| File | View File |
Filings since 2020-09-30
| Form type | 424B5 |
| File number | 333-248942-168 |
| Filing date | 2020-09-30 |
| File | View File |
Filings since 2020-09-21
| Form type | S-3ASR |
| File number | 333-248942-168 |
| Filing date | 2020-09-21 |
| File | View File |
Filings since 2020-05-14
| Form type | 424B5 |
| File number | 333-220519-162 |
| Filing date | 2020-05-14 |
| File | View File |
Filings since 2020-05-12
| Form type | 424B5 |
| File number | 333-220519-162 |
| Filing date | 2020-05-12 |
| File | View File |
Filings since 2020-05-12
| Form type | POSASR |
| File number | 333-220519-162 |
| Filing date | 2020-05-12 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| PAYNE, WILFORD A JR | Organizer | 135 MAYFAIR RDHATTIESBURG, MS 39402 |
| PAYNE, WILFORD A III | Organizer | 135 MAYFAIR RDHATTIESBURG, MS 39402 |
| Name | Role |
|---|---|
| UNITED AGENT GROUP INC. | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
