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Optum Palliative and Hospice Care, Inc.

Details

Name: Optum Palliative and Hospice Care, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 12 Jan 2004 (21 years ago) (Companies founded in January 2004)
Entity Number: 000-933-721
Register Number: 000933721
Historical Names: Evercare Hospice, Inc.
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 9900 BREN ROAD EASTMINNETONKA, MN 55343
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437189131 2006-07-05 2015-11-04 PO BOX 15645, LAS VEGAS, NV, 891145645, US 33 INVERNESS CENTER PARKWAY, HOOVER, AL, 35242, US

Contacts

Phone +1 205-437-8655
Fax 2054378510

Authorized person

Name JOHN O ENDERLE
Role PRESIDENT/CEO
Phone 8602210793

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
Is Primary No
Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number E3732
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Events

Event Date Event Type Old Value New Value
2014-03-04 Name Change Evercare Hospice, Inc. Optum Palliative and Hospice Care, Inc.

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State