| Name: | Athens-Limestone HomeCare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 May 2006 (19 years ago) (Companies founded in May 2006) |
| Entity Number: | 000-478-817 |
| Register Number: | 000478817 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
Activities
HOME HEALTH AGENCY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730136698 | 2006-05-27 | 2020-11-24 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 725 W MARKET ST, SUITE A, ATHENS, AL, 356112456, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 256-233-9533 |
| Fax | 2562339535 |
Authorized person
| Name | MR. NICHOLAS GACHASSIN III |
| Role | EXECUTIVE VICE PRESIDENT |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | N/A |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF |
| Number | 515-41049 |
| State | AL |
| Issuer | MEDICAID |
| Number | ATH7095A |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| ATHENS-LIMESTONE HEALTH SERVICES LLC | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
