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Haven Home Health LLC

Details

Name: Haven Home Health LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Jul 2023 (a year ago) (Companies founded in July 2023)
Entity Number: 001-090-080
Register Number: 001090080
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 8808 ALDERWOOD WAYMONTGOMERY, AL 36117

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841972312 2023-08-03 2023-10-18 8808 ALDERWOOD WAY, MONTGOMERY, AL, 361178465, US 13166 US HIGHWAY 80 E, PIKE ROAD, AL, 360644028, US

Contacts

Phone +1 334-590-5647
Fax 8336527741

Authorized person

Name NKEYA PETERMAN
Role PRESIDENT
Phone 3345492694

Taxonomy

Taxonomy Code 104100000X - Social Worker
Is Primary No
Taxonomy Code 163W00000X - Registered Nurse
Is Primary No
Taxonomy Code 163WH0200X - Home Health Registered Nurse
Is Primary No
Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes
Taxonomy Code 3747P1801X - Personal Care Attendant
Is Primary No
Taxonomy Code 374U00000X - Home Health Aide
Is Primary No
Taxonomy Code 376K00000X - Nurse's Aide
Is Primary No

Agent

Name Role
H.A.V.E.N. Lifeline Agent

Organizer

Name Role Address
HAVEN LIFELINE INC Organizer 8808 ALDERWOOD WAYMONTGOMERY, AL 36117

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State