| Name: | Optimum Health Primary Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Aug 2022 (2 years ago) |
| Entity Number: | 001-037-341 |
| Register Number: | 001037341 |
| Historical Names: |
Optimum Health Primary Care Alternatives, LLC
|
| County: | Limestone |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 214 ATWATER DRIVEMADISON, AL 35756 |
| Registered Office Street Address ZIP Code: | 35756 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316646482 | 2023-02-28 | 2023-07-14 | 1878 JEFF RD NW STE A, HUNTSVILLE, AL, 358064261, US | 1878 JEFF RD NW STE A, HUNTSVILLE, AL, 358064261, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 256-251-5002 |
| Phone | +1 256-562-8773 |
Authorized person
| Name | ELISICIA JILES |
| Role | MD |
| Phone | 2562515002 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JILES, ELISICIA | Agent |
| Name | Role | Address |
|---|---|---|
| Georgianne S Graves CPA PC | Organizer | 12091 US Highway 431Guntersville, AL 35976 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2022-08-31 | Name Change | Optimum Health Primary Care Alternatives, LLC | Optimum Health Primary Care LLC |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
