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HooverHealth & Wellness, LLC

Details

Name: HooverHealth & Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Nov 2017 (7 years ago) (Companies founded in November 2017)
Entity Number: 000-407-435
Register Number: 000407435
Historical Names: Regenerative Medical Institute for Pain & Neuropathy, LLC
ZIP code: 35022 (Companies in Jefferson, 35022)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 455 SUNBELY DRIVEBIRMINGHAM, AL 35022

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982110284 2017-12-21 2023-11-30 1849 DATA DR STE 1, HOOVER, AL, 352441202, US 1849 DATA DR STE 1, HOOVER, AL, 35244, US

Contacts

Phone +1 205-774-8222
Fax 2053194899

Authorized person

Name DR. SHAUNDA ELYSE KELLY
Role PRESIDENT/CEO
Phone 2057748222

Taxonomy

Taxonomy Code 2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number 30056
State AL
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
PRINGLE, GABRIEL Agent 455 SUNBELT DRIVEBESSEMER, AL 35022

Events

Event Date Event Type Old Value New Value
2022-03-15 Name Change Regenerative Medical Institute for Pain & Neuropathy, LLC HooverHealth & Wellness, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State