| Name: | Evergreen Medical Center Hospice, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 06 Apr 2005 (20 years ago) |
| Date of dissolution: | 14 Apr 2015 |
| Entity Number: | 000-463-004 |
| Register Number: | 000463004 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | ORANGE BEACH, AL |
| Registered Office Street Address: | 25819 CANAL ROADORANGE BEACH, AL 36561 |
| Registered Office Street Address ZIP Code: | 36561 |
Activities
HOSPICE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164455762 | 2006-07-08 | 2020-08-22 | 106 S MAIN ST, EVERGREEN, AL, 364013313, US | 106 S MAIN ST, EVERGREEN, AL, 364013313, US | |||||||||||||||||||
|
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| Phone | +1 251-578-2939 |
| Fax | 2515789398 |
Authorized person
| Name | MR. ROYCE THOMAS WINBORNE |
| Role | VICE PRESIDENT - FINANCE |
| Phone | 2519810200 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 11635 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SCARBOROUGH, DANIEL M | Agent |
| Name | Role |
|---|---|
| EVERGREEN HEALTH SERVICES LLC | Member |
| COMMUNITY SENIOR LIFE INC | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
