| Name: | Legacy Care Source LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Mar 2019 (6 years ago) (Companies founded in March 2019) |
| Entity Number: | 000-544-916 |
| Register Number: | 000544916 |
| ZIP code: | 35456 (Companies in Tuscaloosa, 35456) |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 11073 LEXINGTON DRDUNCANVILLE, AL 35456 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S3B2YAASCMB5 | 2022-10-26 | 11073 LEXINGTON DR, DUNCANVILLE, AL, 35456, 2213, USA | 11073 LEXINGTON DR, DUNCANVILLE, AL, 35456, 2213, USA | |||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-07-29 |
| Initial Registration Date | 2021-07-05 |
| Entity Start Date | 2019-02-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 541720, 621610, 623311, 623312, 623990, 624120, 624190 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | VERANDA K MELTON |
| Role | DR. |
| Address | 11073 LEXINGTON DR., DUNCANVILLE, AL, 35456, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | VERANDA K MELTON |
| Role | DR. |
| Address | 11073 LEXINGTON DR, DUNCANVILLE, AL, 35456, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376123356 | 2021-04-13 | 2021-04-13 | 11073 LEXINGTON DR, DUNCANVILLE, AL, 354562213, US | 11073 LEXINGTON DR, DUNCANVILLE, AL, 354562213, US | |||||||||||||||||
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| Phone | +1 205-792-3690 |
Authorized person
| Name | DR. VERANDA K. MELTON |
| Role | CEO/EXECUTIVE DIRECTOR |
| Phone | 2057923690 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| MELTON, VERANDA K | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
