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360care Services of AL LLC

Details

Name: 360care Services of AL LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 12 Oct 2017 (7 years ago) (Companies founded in October 2017)
Entity Number: 000-405-723
Register Number: 000405723
Historical Names: 360care Hearing of AL LLC
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710493176 2017-12-21 2021-10-29 12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY, 402432404, US 150 S PERRY ST, MONTGOMERY, AL, 361044227, US

Contacts

Phone +1 502-244-2441
Fax 5022544069

Authorized person

Name JOY L STEVENS
Role DIRECTOR OF REVENUE
Phone 5022442441

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103T00000X - Psychologist
Is Primary No
Taxonomy Code 104100000X - Social Worker
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 152W00000X - Optometrist
Is Primary No
Taxonomy Code 213E00000X - Podiatrist
Is Primary No
Taxonomy Code 231H00000X - Audiologist
Is Primary Yes
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

Name Role Address
AMMON, RANDY Organizer 12910 SHELBYVILLE RD STE 300LOUISVILLE, KY 40243

Events

Event Date Event Type Old Value New Value
2017-11-03 Name Change 360care Hearing of AL LLC 360care Services of AL LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State