| Name: | Home Team Medical Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Sep 2023 (a year ago) (Companies founded in September 2023) |
| Entity Number: | 001-097-542 |
| Register Number: | 001097542 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 833 St. Vincent's Drive, POB III, Suite 202Birmingham, AL, AL 35205 |
| Registered Office Mailing Address: | 4059 Cliff Road SBirmingham, AL 35222 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326813320 | 2023-11-20 | 2023-11-20 | 833 SAINT VINCENTS DR STE 202, BIRMINGHAM, AL, 352051609, US | 833 SAINT VINCENTS DR STE 202, BIRMINGHAM, AL, 352051609, US | |||||||||||||||||||||
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| Phone | +1 781-400-5142 |
Authorized person
| Name | DR. ROBERT L GREEN |
| Role | OWNER |
| Phone | 7577842320 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Name | Role |
|---|---|
| Green, Robert L III | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
