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Southern Patient Care, Inc.

Details

Name: Southern Patient Care, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 22 Jul 1992 (32 years ago) (Companies founded in July 1992)
Entity Number: 000-927-922
Register Number: 000927922
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Georgia
Principal Address: 104 OXMOOR ROAD STE 140BIRMINGHAM, AL 35209
Registered Office Street Address: 104 OXMOOR RD STE 140BIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548707847 2017-01-24 2017-01-24 120 W PARK DR, BIRMINGHAM, AL, 352114469, US 839 AIRPORT DR STE 102, ALEX CITY, AL, 350103451, US

Contacts

Phone +1 256-215-8654

Authorized person

Name TONI MILLER
Role PRESIDENT
Phone 2057768323

Taxonomy

Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7CVW2 Obsolete Non-Manufacturer 2015-04-24 2022-05-11 2022-05-10 No data

Contact Information

POC TONI MILLER
Phone +1 205-776-8323
Address 104 OXMOOR RD STE 134, BIRMINGHAM, AL, 35209 5937, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN PATIENT CARE 401K PLAN 2020 582004338 2021-10-11 SOUTHERN PATIENT CARE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 532283
Sponsor’s telephone number 2058358045
Plan sponsor’s address 120 W PARK DRIVE, BIRMINGHAM, AL, 35211

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing TONI MILLER
SOUTHERN PATIENT CARE 401K PLAN 2020 582004338 2021-10-11 SOUTHERN PATIENT CARE, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 2058358045
Plan sponsor’s address 120 W PARK DRIVE, BIRMINGHAM, AL, 35211

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing TONI MILLER

Agent

Name Role Address
MILLER, TONI Agent 104 OXMOOR ROAD SUITE 134BIRMINGHAM, AL 35209

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State