| Name: | Alpha & Omega Health Care Providers |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 16 Dec 2015 (9 years ago) (Companies founded in December 2015) |
| Entity Number: | 000-352-310 |
| Register Number: | 000352310 |
| Historical Names: |
Alpha & Omega Health Care Providers, LLC
|
| ZIP code: | 35814 (Companies in Madison, 35814) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 645 WYNN DR STE 5892HUNTSVILLE, AL 35814 |
| Registered Office Street Address: | 645 WYNN DRIVE SUITE 5892HUNTSVILLE, AL 35814 |
Activities
PROVIDE SERVICE NON-MEDICAL/SKILLED CARE/HOMEBOUND HOSPICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144698358 | 2015-09-03 | 2015-09-03 | 645 WYNN DR NW, UNIT 5892, HUNTSVILLE, AL, 358146001, US | 645 WYNN DR NW, UNIT 5892, HUNTSVILLE, AL, 358146001, US | |||||||||||||||||
|
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| Phone | +1 347-683-8141 |
Authorized person
| Name | DENISE JOHNSON |
| Role | CRNP |
| Phone | 3476838141 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | 1-134759 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALTON, MARQ | Director | 645 WYNN DRIVE SUITE 5892HUNTSVILLE, AL 35814 |
| LOUIMA, LUCIEN | Director | 2908 PULASKI PIKE NWHUNTSVILLE, AL 35810 |
| JOHNSON, DENISE | Director | 2304 ABBEYGLEN LANEHOOVER, AL 35226 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, DENISE | Incorporator | 2304 ABBEYGLEN LANEHOOVER, AL 35226 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, DENISE | Agent | 2304 ABBEYGLEN LANEHOOVER, AL 35226 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-10-12 | Name Change | Alpha & Omega Health Care Providers, LLC | Alpha & Omega Health Care Providers |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
