| Name: | VISTACARE USA, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Apr 1998 (27 years ago) (Companies founded in April 1998) |
| Entity Number: | 000-923-004 |
| Register Number: | 000923004 |
| Historical Names: |
Vistacare USA, Inc
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 3350 RIVERWOOD PKWY STE 1400ATLANTA, GA 30339 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326091273 | 2006-05-19 | 2024-01-11 | PO BOX 4060, MOORESVILLE, NC, 281174060, US | 730 N DEAN RD STE 300, AUBURN, AL, 368304304, US | |||||||||||||||||||||||||
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| Phone | +1 704-664-2876 |
| Fax | 7046641306 |
| Phone | +1 334-298-8898 |
| Fax | 3342989535 |
Authorized person
| Name | MS. JANET COMBS |
| Role | VP OF LICENSURE |
| Phone | 7046642876 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1602E |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2012-12-05 | Name Change | Vistacare USA, Inc | VISTACARE USA, LLC |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
