| Name: | Prime Home Health of Lee County, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Jan 2017 (8 years ago) (Companies founded in January 2017) |
| Entity Number: | 000-379-948 |
| Register Number: | 000379948 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013457621 | 2017-03-01 | 2020-06-10 | 2125 EXECUTIVE PARK DR, OPELIKA, AL, 368016041, US | 2125 EXECUTIVE PARK DR, OPELIKA, AL, 368016041, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 334-745-7966 |
| Fax | 3347452153 |
Authorized person
| Name | SANDRA LEDBETTER |
| Role | ADMINISTRATOR |
| Phone | 3347457966 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | SOU714A |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role |
|---|---|
| HENRY, JAMES F | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
