| Name: | CareSouth HHA Holdings of Dothan, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Oct 2006 (18 years ago) (Companies founded in October 2006) |
| Entity Number: | 000-612-133 |
| Register Number: | 000612133 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Georgia |
| Registered Office Street Address: | 4000 EAGLE POINT CORPORATE DRIVEBIRMINGHAM, AL 35242 |
| Principal Address: | 3700 ROSS CLARK CIR STE 1DOTHAN, AL 36303 |
Activities
HOME HEALTH SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073097382 | 2018-09-21 | 2022-07-01 | 6688 N CENTRAL EXPY STE 1300, DALLAS, TX, 752063950, US | 919 SHARIT AVE STE 213, GARDENDALE, AL, 350715008, US | |||||||||||||||||||||||||
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| Phone | +1 214-239-6500 |
| Fax | 2142396581 |
| Phone | +1 205-224-4545 |
| Fax | 2052244435 |
Authorized person
| Name | CRISSY BUCHANAN CARLISLE |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 2142396500 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 239946 |
| State | AL |
| Name | Role |
|---|---|
| UNITED AGENT GROUP INC. | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
