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Marion Regional HomeCare, LLC

Details

Name: Marion Regional HomeCare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Feb 2009 (16 years ago) (Companies founded in February 2009)
Entity Number: 000-430-646
Register Number: 000430646
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2 N JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Activities ACQUIRE/OPERATE HOME HEALTH/HOSPICE/OTHER HEALTH CARE AGENCIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649411299 2009-03-11 2024-05-24 PO BOX 51266, LAFAYETTE, LA, 705051266, US 234 1ST AVE SW, SUITE 2, HAMILTON, AL, 355705580, US

Contacts

Phone +1 337-233-1307
Fax 3372335764
Phone +1 205-921-0391
Fax 2059211594

Authorized person

Name MR. JOSHUA L PROFFITT
Role PRESIDENT
Phone 3372331307

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 114199
State AL

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Member

Name Role
MARION REGIONAL MEDICAL CENTER INC Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State