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Community Hospice of South Alabama, LLC

Details

Name: Community Hospice of South Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Jun 2018 (6 years ago) (Companies founded in June 2018)
Entity Number: 000-523-035
Register Number: 000523035
Historical Names: Community Hospice of Baldwin County, LLC
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Walker County
Registered Office Street Address: 406 MEDICAL CENTER DRIVEJASPER, AL 35501

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306894142 2006-05-04 2023-01-03 1450 NORTH MCKENZIE STREET, FOLEY, AL, 365352234, US 1450 NORTH MCKENZIE STREET, FOLEY, AL, 365352234, US

Contacts

Phone +1 251-943-5015
Fax 2519433986

Authorized person

Name MR. TIMOTHY A BUTTELL
Role MANAGER
Phone 8507237076

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
Is Primary Yes

Agent

Name Role Address
WILLINGHAM, PATRICK Agent 510 MEDICAL ARTS TOWERJASPER, AL 35501

Organizer

Name Role Address
MCPHEETERS, STEVEN L Organizer 1901 6TH AVE N.,2400 REGIONS/HARBERTBIRMINGHAM, AL 35203

Events

Event Date Event Type Old Value New Value
2022-02-24 Name Change Community Hospice of Baldwin County, LLC Community Hospice of South Alabama, LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State