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Care Bridge Providers, LLC

Details

Name: Care Bridge Providers, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 06 Oct 2015 (9 years ago)
Date of dissolution: 28 Apr 2022
Entity Number: 000-346-258
Register Number: 000346258
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2090 COLUMBIANA ROAD SUITE 2000BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962069252 2019-05-22 2019-05-22 1025 MONTGOMERY HWY STE 109, VESTAVIA HILLS, AL, 352162856, US 1025 MONTGOMERY HWY STE 109, VESTAVIA HILLS, AL, 352162856, US

Contacts

Phone +1 205-208-9466
Fax 2952089556

Authorized person

Name MATTHEW DOMONIC PETITTI
Role PRESIDENT
Phone 2055855057

Taxonomy

Taxonomy Code 374U00000X - Home Health Aide
Is Primary Yes

Organizer

Name Role Address
HASTY, WILLIAM D JR Organizer 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Agent

Name Role Address
HASTY, WILLIAM D JR Agent 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State