| Name: | Central Alabama Medical Associates, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Sep 2007 (17 years ago) (Companies founded in September 2007) |
| Entity Number: | 000-614-918 |
| Register Number: | 000614918 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Georgia |
| Principal Address: | 900 CIRCLE 75 PKWY STE 1120ATLANTA, GA 30339 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
HEALTHCARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073791372 | 2008-02-08 | 2009-01-26 | 1010 LAY DAM ROAD, CLANTON, AL, 350461920, US | 1010 LAY DAM RD, CLANTON, AL, 350452306, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-280-4663 |
| Fax | 2052803489 |
Authorized person
| Name | MR. J LEE |
| Role | HOME HEALTH ADMINISTRATOR |
| Phone | 2052804663 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 1284-HHA |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | B/C B/S |
| Number | 510-93666 |
| State | AL |
| Issuer | MEDICAID |
| Number | CHI7107A |
| State | AL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
