| Name: | Atmore Community Home Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Aug 2006 (18 years ago) (Companies founded in August 2006) |
| Entity Number: | 000-483-458 |
| Register Number: | 000483458 |
| ZIP code: | 36502 (Companies in Escambia, 36502) |
| County: | Escambia |
| Place of Formation: | Escambia County |
| Registered Office Street Address: | 611 EAST LAUREL STATMORE, AL 36502 |
Activities
MEDICAL DIAGNOSIS TREATMENT/RESEARCH
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538111893 | 2006-05-16 | 2017-02-15 | 121-C LINDBERG AVENUE, ATMORE, AL, 36502, US | 121-C LINDBERG AVENUE, ATMORE, AL, 36502, US | |||||||||||||||||||||||||||
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| Phone | +1 251-368-6286 |
| Fax | 2513686289 |
Authorized person
| Name | MRS. DIANE RENEE FITZPATRICK |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2513686286 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ATM7412A |
| State | AL |
| Issuer | BCBS OF ALABAMA |
| Number | 011454 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| PORTER, JOHN | Agent | 1404 CADILLAC AVEDAUPHIN ISLAND, AL 36528 |
| Name | Role |
|---|---|
| ESCAMBIA COUNTY ALABAMA COMMUNITY | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
