Name: | Beacon Respiratory Services of Alabama, Inc. |
Jurisdiction: | Alabama |
Legal type: | Foreign Corporation |
Status: | Exists |
Date of registration: | 14 Dec 2001 (23 years ago) (Companies founded in December 2001) |
Entity Number: | 000-921-108 |
Register Number: | 000921108 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Delaware |
Principal Address: | 1614 LAKESIDE DRORLANDO, FL 32803-1508 |
Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1356369359 | 2006-07-17 | 2007-07-12 | 26777 CENTRAL PARK BLVD, SUITE 200, SOUTHFIELD, MI, 480764162, US | 3592 LORNARIDGE DR, HOOVER, AL, 352165247, US | |||||||||||||||||||||||||||
|
Phone | +1 248-352-7530 |
Fax | 2483525189 |
Phone | +1 205-978-3283 |
Fax | 2029783283 |
Authorized person
Name | CATHY SPARLING |
Role | VP ADMINISTRATIVE SERVICES |
Phone | 2483527530 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 9982840 |
State | AL |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State