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Supportive Living LLC

Details

Name: Supportive Living LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Apr 2018 (7 years ago) (Companies founded in April 2018)
Entity Number: 000-516-553
Register Number: 000516553
ZIP code: 35749 (Companies in Madison, 35749)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 117 OAK TERRACE LNHARVEST, AL 35749

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SNKLKNQJQK97 2021-11-25 117 OAK TERRACE LN, HARVEST, AL, 35749, 1202, USA 117 OAK TERRACE LANE, HARVEST, AL, 35749, USA

Business Information

Doing Business As SUPPORTIVE LIVING HOME CARE
Division Name SUPPORTIVE LIVING LLC
Division Number 256-335-50
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2020-12-01
Initial Registration Date 2020-11-22
Entity Start Date 2018-04-19
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621511, 624120

Points of Contacts

Electronic Business
Title PRIMARY POC
Name SHAKENDRIA BROWN
Address 117 OAK TERRACE LANE, HARVEST, AL, 35749, USA
Government Business
Title PRIMARY POC
Name SHAKENDRIA BROWN
Address 117 OAK TERRACE LANE, HARVEST, AL, 35749, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013484161 2018-10-26 2018-10-26 117 OAK TERRACE LN, HARVEST, AL, 357491202, US 117 OAK TERRACE LN, HARVEST, AL, 357491202, US

Contacts

Phone +1 256-400-1553

Authorized person

Name SHAKENDRIA BROWN
Role OWNER
Phone 2564001553

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes
Taxonomy Code 385H00000X - Respite Care
Is Primary No

Agent

Name Role
BROWN, SHAKENDRIA C Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State