| Name: | North Alabama Home Dialysis, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Oct 2019 (5 years ago) |
| Entity Number: | 000-590-646 |
| Register Number: | 000590646 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 1633 Church Street, Suite 500Nashville, TN 37203 |
| Registered Office Street Address: | 641 South Lawrence StreetMontogomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Registered Office Mailing Address: | 641 South Lawrence StreetMontgomery, AL 36104 |
| Registered Office Mailing Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730712738 | 2020-02-18 | 2023-10-05 | 1633 CHURCH ST STE 500, NASHVILLE, TN, 372032948, US | 1216 SOMERVILLE RD SE, DECATUR, AL, 356014335, US | |||||||||||||||||
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| Phone | +1 615-432-0498 |
| Fax | 6159639730 |
| Phone | +1 256-340-0012 |
Authorized person
| Name | MR. DONOVAN SCHULTZ |
| Role | PRESIDENT |
| Phone | 6153273061 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Corporation Service Company Inc. | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
