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Alabama Homecare of Montgomery, LLC

Details

Name: Alabama Homecare of Montgomery, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 May 2010 (15 years ago) (Companies founded in May 2010)
Entity Number: 000-447-134
Register Number: 000447134
Historical Names: Baptist Home Health, LLC
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Principal Address: 451 SAINT LUKES DRIVESUITE 451MONTGOMERY, AL 36117

Activities HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972823920 2010-06-01 2024-01-03 PO BOX 51266, LAFAYETTE, LA, 705051266, US 451 SAINT LUKES DR STE 451, MONTGOMERY, AL, 361177107, US

Contacts

Phone +1 337-233-1307
Fax 3372335764
Phone +1 334-395-5100
Fax 3343955120

Authorized person

Name MR. JOSHUA L PROFFITT III
Role PRESIDENT
Phone 3372331307

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 126695
State AL

Agent

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

Member

Name Role
BAPTIST MEDICAL CENTER SOUTH, AN Member

Events

Event Date Event Type Old Value New Value
2023-04-05 Name Change Baptist Home Health, LLC Alabama Homecare of Montgomery, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State