| Name: | Heart to Heart Hospice, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Withdrawn |
| Date of registration: | 22 Jan 2001 (24 years ago) (Companies founded in January 2001) |
| Entity Number: | 000-920-531 |
| Register Number: | 000920531 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Mississippi |
| Principal Address: | 28 THIRD STBELMONT, MS 38827 |
| Registered Office Street Address: | 150 S PERRY STMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720014061 | 2006-06-25 | 2008-06-17 | PO BOX 1158, 1079 HWY 43, WINFIELD, AL, 355941158, US | #1079 HWY 43, SUITE B, WINFIELD, AL, 355941158, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 205-487-0660 |
| Fax | 2054870663 |
Authorized person
| Name | MR. JOHN HICKS |
| Role | CFO |
| Phone | 9018546185 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 11658 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1587E |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
