Name: | HH Health System - Caring for Life, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 28 Jun 2017 (7 years ago) |
Entity Number: | 000-395-426 |
Register Number: | 000395426 |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
Registered Office Street Address ZIP Code: | 35801 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427571157 | 2017-07-25 | 2022-07-21 | 10000 SERENITY LANE SE, HUNTSVILLE, AL, 35803, US | 10000 SERENITY LANE SE, HUNTSVILLE, AL, 35803, US | |||||||||||||||||||||||||||||||
|
Phone | +1 256-650-1212 |
Fax | 2568802929 |
Authorized person
Name | MRS. KELLI POWERS |
Role | CHIEF FINANCIAL OFFICER |
Phone | 2562658818 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | 11171 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | PIC1505E |
State | AL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | 010-674 |
State | AL |
Name | Role | Address |
---|---|---|
SPILLERS, DAVID S | Agent | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
Name | Role | Address |
---|---|---|
SPILLERS, DAVID S | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State