| Name: | AABON Home Health Care Supply, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Mar 1991 (34 years ago) |
| Entity Number: | 000-142-149 |
| Register Number: | 000142149 |
| ZIP code: | 36360 |
| County: | Dale |
| Place of Formation: | Dale County |
| Principal Address: | OZARK, AL |
| Registered Office Street Address: | 1105 FAUST AVENUEOZARK, AL 36360 |
| Authorized Capital: | $100 |
| Paid Share Capital: | ---- |
Activities
BUILDINGS STRUCTURES MACHINERY EQUIPMENT
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | AABON Home Health Care Supply, Inc., FLORIDA | F99000000813 | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194959981 | 2009-05-07 | 2010-09-23 | 959 E MAIN ST, STE C, PRATTVILLE, AL, 360665600, US | 959 E MAIN ST, STE C, PRATTVILLE, AL, 360665600, US | |||||||||||||||||||||||||
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| Phone | +1 334-361-6362 |
| Fax | 3343613931 |
Authorized person
| Name | ROBERT HARRY |
| Role | PRESIDENT |
| Phone | 3347747535 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 865 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117593 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5V9D5 | Obsolete | Non-Manufacturer | 2010-01-22 | 2023-08-03 | 2023-08-02 | No data | |||||||||||||||
|
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| POC | ROBERT E. HARRY SR. |
| Phone | +1 334-774-7535 |
| Fax | +1 334-445-1736 |
| Address | 136 E REYNOLDS ST, OZARK, AL, 36360 1530, 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 |
|---|
| Name | Role |
|---|---|
| HARRY, RICHARD | Agent |
| Name | Role | Address |
|---|---|---|
| HARRY, ROBERT E | Incorporator | 1441 FAUST AVENUEOZARK, AL 36360 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
