Name: | Hospice of the Valley, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 25 May 1984 (40 years ago) |
Entity Number: | 000-813-785 |
Register Number: | 000813785 |
Historical Names: |
The Hospice of Morgan County, Inc.
|
County: | Morgan |
Place of Formation: | Morgan County |
Principal Address: | DECATUR, AL |
Registered Office Street Address: | DANVILLE ROAD SW PO BOX 1325DECATUR, AL 35602 |
Registered Office Street Address ZIP Code: | 35602 |
Activities
PROVIDE A PROGRAM OF PALLIATIVE & SUPPORTIVE SERVICES
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M2RCDK13XDH5 | 2024-07-24 | 240 JOHNSTON ST SE, DECATUR, AL, 35602, 2516, USA | P.O BOX 2745, DECATUR, AL, 35601, USA | |||||||||||||||||||||||||||||||||||||||||
|
Division Name | HOSPICE OF THE VALLEY, INC. |
Congressional District | 05 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-07-27 |
Initial Registration Date | 2022-05-24 |
Entity Start Date | 1984-08-01 |
Fiscal Year End Close Date | Dec 31 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | MEIGHAN MAPLES |
Role | ACCT MGR |
Address | P.O. BOX 2745, DECATUR, AL, 35602, 2745, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | CONNIE SCHULTZ |
Role | CEO |
Address | P.O BOX 2745, DECATUR, AL, 35601, 2745, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811978893 | 2005-11-08 | 2016-11-17 | P.O. BOX 2745, 240 JOHNSTON ST. SE, DECATUR, AL, 35602, US | 240 JOHNSTON ST SE, DECATUR, AL, 356012516, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 256-350-5585 |
Fax | 2563503769 |
Authorized person
Name | MRS. DEBBIE M. HEARD |
Role | CEO |
Phone | 2563505585 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | 10261 |
State | AL |
Is Primary | No |
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS |
Number | 010661 |
State | AL |
Issuer | MEDICAID |
Number | PIC1511E |
State | AL |
Name | Role |
---|---|
BARRETT, SANDRA | Agent |
Name | Role |
---|---|
BARRETT, SANDRA | Incorporator |
MCKIMMON, MARY | Incorporator |
TWENTE, GEORGE E | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1994-09-13 | Name Change | The Hospice of Morgan County, Inc. | Hospice of the Valley, Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State