| Name: | Essential Healthcare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 May 2018 (6 years ago) (Companies founded in May 2018) |
| Entity Number: | 000-519-513 |
| Register Number: | 000519513 |
| ZIP code: | 35960 (Companies in Cherokee, 35960) |
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Registered Office Street Address: | 397 NORTHWOOD DRIVECENTRE, AL 35960 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Y6VAMXFNG6D7 | 2024-06-12 | 1260 CHESNUT BYP, STE A, CENTRE, AL, 35960, 2834, USA | 1260 CHESNUT BYP STE A, CENTRE, AL, 35960, 2834, USA | |||||||||||||||||||||||||||||||||||||||
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| Doing Business As | LAKESIDE PRIMARY CARE |
| Division Name | ESSENTIAL HEALTHCARE LLC |
| Congressional District | 03 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-06-15 |
| Initial Registration Date | 2021-06-05 |
| Entity Start Date | 2018-05-23 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AIMEE KILGO |
| Address | 1260 CHESNUT BYPASS STE A, CENTRE, AL, 35960, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KRISTIN WESTBROOK |
| Address | 1260 CHESNUT BYPASS STE A, CENTRE, AL, 35960, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720572407 | 2018-06-18 | 2022-12-09 | 1260 CHESNUT BYP STE A, CENTRE, AL, 359602834, US | 1260 CHESNUT BYPASS, SUITE A, CENTRE, AL, 359602834, US | |||||||||||||||||||||
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| Phone | +1 256-266-1544 |
| Fax | 2562661531 |
Authorized person
| Name | AIMEE KILGO |
| Role | PRESIDENT |
| Phone | 2562661544 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 224799 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| KILGO, AIMEE | Agent | 397 NORTHWOOD DRIVECENTRE, AL 35960 |
| Name | Role | Address |
|---|---|---|
| KILGO, AIMEE | Member | 397 NORTHWOOD DRIVECENTRE, AL 35960 |
| Name | Role | Address |
|---|---|---|
| KILGO, AIMEE | Organizer | 397 NORTHWOOD DRIVECENTRE, AL 35960 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
