| Name: | AseraCare Hospice - Birmingham, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 24 May 2004 (21 years ago) (Companies founded in May 2004) |
| Entity Number: | 000-606-756 |
| Register Number: | 000606756 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | ONE THOUSAND BEVERLY WAYFORT SMITH, AR 72919 |
| Registered Office Street Address: | 150 S PERRY STMONTGOMERY, AL 36104 |
Activities
HOSPICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013954528 | 2006-06-01 | 2020-08-22 | 450 CENTURY PARK S, SUITE 112B, HOOVER, AL, 352263941, US | 450 CENTURY PARK S, SUITE 112B, HOOVER, AL, 352263941, US | |||||||||||||||||||||||
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| Phone | +1 901-758-1450 |
Authorized person
| Name | HOLLY A JONES |
| Role | SECRETARY |
| Phone | 4792014840 |
Taxonomy
| Taxonomy Code | 315D00000X - Inpatient Hospice |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC-1537E |
| State | AL |
| Issuer | BCBS |
| Number | 0212-497 |
| Name | Role | Address |
|---|---|---|
| CSC LAWYERS INCORPORATING SRV INC | Agent | 2711 CENTERVILLE ROAD SUITE 400WILMINGTON, DE 19808 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
