| Name: | Kelley Health Hospice, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 12 Feb 2020 (5 years ago) (Companies founded in February 2020) |
| Entity Number: | 000-622-028 |
| Register Number: | 000622028 |
| ZIP code: | 35504 (Companies in Walker, 35504) |
| County: | Walker |
| Place of Formation: | Alabama |
| Principal Address: | 903 11th Street NEJasper, AL 35504 |
| Authorized Capital: | 100 |
| Paid Share Capital: | 10.00 |
Activities
To provide health and hospice care services
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447879101 | 2020-04-13 | 2021-06-01 | 903 11TH ST NE, JASPER, AL, 355048821, US | 453 19TH ST W, JASPER, AL, 355015349, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 205-471-6212 |
| Fax | 2053871912 |
| Phone | +1 205-387-2300 |
| Fax | 2053872301 |
Authorized person
| Name | ALICIA STEWART |
| Role | PRESIDENT |
| Phone | 2054716212 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1663E |
| State | AL |
| Name | Role |
|---|---|
| Stewart, Alicia | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
