| Name: | Specialized Healthcare, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Oct 2008 (16 years ago) |
| Entity Number: | 000-426-556 |
| Register Number: | 000426556 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1009 PARKWOOD RDBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
Activities
MEDICAL TREATMENT/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194970525 | 2008-11-26 | 2014-09-23 | PO BOX 175, MOODY, AL, 350040175, US | 2345 MOODY PKWY, STE 204, MOODY, AL, 350043004, US | |||||||||||||||||||||||||||
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| Phone | +1 205-640-0001 |
| Fax | 2056401557 |
Authorized person
| Name | DR. REGINALD M SMITH |
| Role | OWNER/PHYSICIAN |
| Phone | 2056400001 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 27262 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | PM.326 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SMITH, REGINALD M | Member |
| Name | Role |
|---|---|
| SMITH, REGINALD M | Agent |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | SS040960003 | 2009-02-18 | No data | No data | |||||||||||||||||||||
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| Title | MEDICAL CONSULTANT SERVICES - ORTHOPEDICS/IM/ER |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q526: MEDICAL/PSYCH CONSULTATION SVCS |
Recipient Details
| Recipient | SPECIALIZED HEALTHCARE, L.L.C. |
| UEI | C92HFCWF3461 |
| Legacy DUNS | 829163927 |
| Recipient Address | UNITED STATES, 1009 PARKWOOD RD, BIRMINGHAM, 352427077 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
