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Preferred Family Healthcare, LLC

Details

Name: Preferred Family Healthcare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Feb 2010 (15 years ago) (Companies founded in February 2010)
Entity Number: 000-443-449
Register Number: 000443449
ZIP code: 35950 (Companies in Marshall, 35950)
County: Marshall
Place of Formation: Etowah County
Principal Address: ALBERTVILLE, AL
Registered Office Street Address: 5930 US HWY 431 STE 2ALBERTVILLE, AL 35950

Activities HOLD REAL ESTATE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GFCDFH8XYHD4 2024-04-25 5850 US HIGHWAY 431, STE 11, ALBERTVILLE, AL, 35950, 2049, USA 5850 US HIGHWAY 431 STE 11, ALBERTVILLE, AL, 35950, 2049, USA

Business Information

Congressional District 04
State/Country of Incorporation AL, USA
Activation Date 2023-04-28
Initial Registration Date 2021-08-04
Entity Start Date 2010-04-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name SHONNIE HUBBARD
Address 5850 US HIGHWAY STE 11,, ALBERTVILLE,, AL, 35950, USA
Government Business
Title PRIMARY POC
Name SHONNIE HUBBARD
Address 5850 US HIGHWAY STE 11,, ALBERTVILLE,, AL, 35950, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386966422 2010-02-16 2020-05-08 PO BOX 516, ALBERTVILLE, AL, 359500008, US 5850 US HIGHWAY 431 STE 11, ALBERTVILLE, AL, 359502049, US

Contacts

Phone +1 256-878-1053
Fax 2568789969

Authorized person

Name SHONNIE L HUBBARD
Role OWNER
Phone 2568781053

Taxonomy

Taxonomy Code 261QR1300X - Rural Health Clinic/Center
License Number 1-059298
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 121332
State AL

Agent

Name Role
HUBBARD, SHONNIE Agent

Member

Name Role
HUBBARD, SHONNIE Member
HUBBARD, STANLEY Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State