| Name: | The Pink Alternative, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Oct 2017 (7 years ago) |
| Entity Number: | 000-406-593 |
| Register Number: | 000406593 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 3739 JORDON AVENUECOWARTS, AL 36321 |
| Registered Office Street Address ZIP Code: | 36321 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HDYTM69N2E56 | 2025-04-10 | 3000 HARTFORD HIGHWAY SUITE 1, DOTHAN, AL, 36305, 4906, USA | 3000 HARTFORD HIGHWAY SUITE 1, DOTHAN, AL, 36305, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-12 |
| Initial Registration Date | 2020-09-09 |
| Entity Start Date | 2017-11-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 423450, 621399 |
| Product and Service Codes | Q999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DENISE C NEWBY |
| Role | OWNER |
| Address | 3000 HARTFORD HIGHWAY SUITE 1, DOTHAN, AL, 36305, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DENISE C NEWBY |
| Role | OWNER |
| Address | 3000 HARTFORD HIGHWAY SUITE 1, DOTHAN, AL, 36305, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538658950 | 2018-05-02 | 2020-03-02 | 3000 HARTFORD HWY STE 1, DOTHAN, AL, 363054906, US | 3000 HARTFORD HWY STE 1, DOTHAN, AL, 363054906, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-446-3337 |
| Fax | 3344463698 |
Authorized person
| Name | MS. DENISE HOLTON NEWBY |
| Role | CERTIFIED FITTER MASTECTOMY |
| Phone | 3344463337 |
Taxonomy
| Taxonomy Code | 224900000X - Mastectomy Fitter |
| License Number | 368 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1992217285 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| NEWBY, DENISE | Agent | 3739 JORDON AVECOWARTS, AL 36321 |
| Name | Role | Address |
|---|---|---|
| NEWBY, DENISE | Member | 3739 JORDON AVECOWARTS, AL 36321 |
| Name | Role | Address |
|---|---|---|
| NEWBY, DENISE | Organizer | 3739 JORDON AVECOWARTS, AL 36321 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
