| Name: | Chattahoochee Valley Home Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jun 1979 (45 years ago) |
| Entity Number: | 000-927-449 |
| Register Number: | 000927449 |
| Historical Names: |
Chattahoochee Valley Home Health, Inc.
|
| County: | Montgomery |
| Place of Formation: | Georgia |
| Principal Address: | 3350 RIVERWOOD PKY STE 1400ATLANTA, GA 30339 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336170570 | 2006-07-05 | 2022-09-03 | 6330 SPRINT PKWY STE 300, OVERLAND PARK, KS, 662111157, US | 5009 RIVER CHASE DR, BLDG 100, SUITE D, PHENIX CITY, AL, 368677484, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 334-297-6900 |
Authorized person
| Name | JOHN NICHOLS |
| Role | AUTHORIZED SIGNATORY |
| Phone | 3342976900 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | G2 |
| Number | 515-13363 |
| Issuer | G2 |
| Number | 82-0559182 |
| Issuer | G2 |
| Number | 010-362 |
| Issuer | MEDICAID |
| Number | 141925 |
| 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 |
|---|---|---|---|
| 2013-01-04 | Name Change | Chattahoochee Valley Home Health, Inc. | Chattahoochee Valley Home Health, LLC |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
