| Name: | Ace Home Medical, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Oct 2005 (19 years ago) |
| Entity Number: | 000-469-915 |
| Register Number: | 000469915 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 2214 GATEWAY DRIVE STE GOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548476617 | 2007-05-15 | 2007-09-11 | 4807 20TH AVE, VALLEY, AL, 368543548, US | 4807 20TH AVE, VALLEY, AL, 368543548, US | |||||||||||||||||||||
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| Phone | +1 334-756-8790 |
| Fax | 3347568792 |
Authorized person
| Name | KIMBERELY MADDOX |
| Role | OFFICE MANAGER |
| Phone | 3347568790 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF ALABAMA |
| Number | 51533440 |
| State | AL |
| Name | Role |
|---|---|
| ANIUKWU, CHIKE CHARLES | Member |
| Name | Role |
|---|---|
| PEDROSA, MIGUEL | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
