| Name: | Amedisys Hospice, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Jan 2004 (21 years ago) (Companies founded in January 2004) |
| Entity Number: | 000-606-442 |
| Register Number: | 000606442 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Louisiana |
| Principal Address: | 11100 MEAD RD STE 300BATON ROUGE, LA 70816 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
HOME HEALTH CARE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LZ9MN9ASFKR8 | 2025-01-28 | 2204 LAKESHORE DR STE 160, BIRMINGHAM, AL, 35209, 6762, USA | PO BOX 660770, PO, DALLAS, TX, 75266, USA | |||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | AMEDISYS HOSPICE OF BIRMINGHAM |
| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-01-31 |
| Initial Registration Date | 2024-01-29 |
| Entity Start Date | 2004-01-26 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHELLEY HOOPER |
| Role | DRRIMB |
| Address | 3854 AMERICAN WAY SUITE A, BATON ROUGE, LA, 70816, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHELLEY HOOPER |
| Role | DRRIMB |
| Address | 3854 AMERICAN WAY SUITE A, BATON ROUGE, LA, 70816, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801192695 | 2011-01-27 | 2016-09-12 | 3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA, 708164013, US | 216 N NORTON AVE, SYLACAUGA, AL, 351502456, US | |||||||||||||||||||||||||
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| Phone | +1 225-292-2031 |
| Fax | 2252959678 |
| Phone | +1 256-249-0088 |
| Fax | 2562490099 |
Authorized person
| Name | PAUL KUSSEROW |
| Role | PRESIDENT |
| Phone | 2252922031 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 126970 |
| State | AL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
