| Name: | Shoals Hospice LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Jul 2018 (6 years ago) |
| Entity Number: | 000-523-331 |
| Register Number: | 000523331 |
| Historical Names: |
Community Care Hospice, LLC
|
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Registered Office Street Address: | 230 WEST MAIN STREETCENTRE, AL 35960 |
| Registered Office Street Address ZIP Code: | 35960 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306322854 | 2018-07-18 | 2019-07-30 | 115 HELTON CT, FLORENCE, AL, 356301433, US | 115 HELTON CT, FLORENCE, AL, 356301433, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-767-1322 |
Authorized person
| Name | JAMES WALKER |
| Role | OWNER |
| Phone | 2563936700 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 230122 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| WALKER, JAMES P JR | Agent | 230 WEST MAIN STREETCENTRE, AL 35960 |
| Name | Role | Address |
|---|---|---|
| WALKER, JAMES P JR | Organizer | 230 WEST MAIN STREETCENTRE, AL 35960 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-07-29 | Name Change | Community Care Hospice, LLC | Shoals Hospice LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
