| Name: | Back To Basics Healthcare LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Feb 2020 (5 years ago) (Companies founded in February 2020) |
| Entity Number: | 000-627-822 |
| Register Number: | 000627822 |
| ZIP code: | 35951 (Companies in Marshall, 35951) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 1412 MARTLING ROADALBERTVILLE, AL 35951 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093349920 | 2020-02-29 | 2020-06-10 | 5730 US HIGHWAY 431, ALBERTVILLE, AL, 359500234, US | 5730 US HIGHWAY 431, ALBERTVILLE, AL, 359500234, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-907-9700 |
| Fax | 2569079724 |
Authorized person
| Name | MS. ROBIN SCOTT |
| Role | OWNER |
| Phone | 2563023773 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1245695667 |
| State | AL |
| Issuer | NPI |
| Number | 1942830716 |
| State | AL |
| Issuer | NPI |
| Number | 1588103295 |
| State | AL |
| Issuer | NPI |
| Number | 1801102959 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SCOTT, ROBIN | Agent | 1412 MARTLING ROADALBERTVILLE, AL 35951 |
| Name | Role | Address |
|---|---|---|
| SCOTT, ROBIN | Organizer | 1412 MARTLING ROADALBERTVILLE, AL 35951 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
