| Name: | Jacket Medical Supply, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Apr 2019 (6 years ago) |
| Entity Number: | 000-549-222 |
| Register Number: | 000549222 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 957 PATTERSON DRIVEGADSDEN, AL 35903 |
| Registered Office Street Address ZIP Code: | 35903 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K2Z3Y3T3AHJ4 | 2022-07-08 | 239 COLLEGE ST, GADSDEN, AL, 35901, 4134, USA | 239 COLLEGE ST, GADSDEN, AL, 35901, 4134, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-06-10 |
| Initial Registration Date | 2021-04-27 |
| Entity Start Date | 2019-04-04 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 423450, 446199 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SKYLAR L DEERMAN |
| Role | OWNER |
| Address | 239 COLLEGE STREET, GADSDEN, AL, 35901, 4134, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SKYLAR L DEERMAN |
| Role | OWNER |
| Address | 239 COLLEGE STREET, GADSDEN, AL, 35901, 4134, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | CORY DEERMAN |
| Role | DIABETES SALES SPECIALIST |
| Address | 239 COLLEGE STREET, GADSDEN, AL, 35901, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710545843 | 2019-06-04 | 2020-03-26 | 239 COLLEGE ST, GADSDEN, AL, 359014134, US | 239 COLLEGE ST, GADSDEN, AL, 359014134, US | |||||||||||||
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| Phone | +1 888-777-0759 |
Authorized person
| Name | MR. SKYLAR DEERMAN |
| Role | MEMBER MANAGER |
| Phone | 8887770759 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEERMAN, SKYLAR | Organizer | 957 PATTERSON DRIVEGADSDEN, AL 35901 |
| Name | Role | Address |
|---|---|---|
| DEERMAN, SKYLAR | Agent | 957 PATTERSON DRIVEGADSDEN, AL 35901 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
