| Name: | Lee County Home Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 31 Jul 2002 (22 years ago) |
| Date of dissolution: | 16 Feb 2021 |
| Entity Number: | 000-683-756 |
| Register Number: | 000683756 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
PROVIDE HOME HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821045758 | 2006-05-27 | 2020-08-22 | 2214-B GATEWAY DR, OPELIKA, AL, 368016832, US | 2214-B GATEWAY DR, OPELIKA, AL, 368016832, US | |||||||||||||||||||||
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| Phone | +1 334-745-7966 |
| Fax | 3347452153 |
Authorized person
| Name | MR. MICHAEL LEWIS FOXWORTHY |
| Role | PRESIDENT OF MEMBER |
| Phone | 4077678882 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | SOU7147A |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| THOMAS D JOHNSON REVOCABLE TRUST U/A | Member | 485 CENTRAL AVENUE NECLEVELAND, TN 37311 |
| PERIMETER DEVELOPMENT | Member | 485 CENTRAL AVENUE NECLEVELAND, TN 37311 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, THOMAS D | Organizer | 485 CENTRAL AVENUE NECLEVELAND, TN 37311 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
