| Name: | Infirmary Home Health Agency, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 02 Mar 1994 (31 years ago) |
| Entity Number: | 000-162-509 |
| Register Number: | 000162509 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Mobile County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Authorized Capital: | $100,000 |
| Paid Share Capital: | ---- |
Activities
TO PROVIDE HOME HEALTH SERVICES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCZ5KBU8KLC5 | 2024-11-06 | 6001 AIRPORT BLVD, SUITE B, MOBILE, AL, 36608, 3142, USA | P O BOX 51266, LAFAYETTE, LA, 70505, 1266, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Congressional District | 01 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-11-14 |
| Initial Registration Date | 2023-11-07 |
| Entity Start Date | 2003-02-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621610 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TAMMY LANTHIER |
| Role | REVENUE CYCLE |
| Address | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508, 2511, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DANA NELSON |
| Role | LICENSURE PARALEGAL |
| Address | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508, 2511, USA |
| Title | ALTERNATE POC |
| Name | MIA GUIDRY |
| Role | LICENSURE PARALEGAL |
| Address | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811930688 | 2006-06-13 | 2007-09-04 | 420 W PINHOOK RD, SUITE A, LAFAYETTE, LA, 705032131, US | 2601B EMOGENE ST, MOBILE, AL, 366064806, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 251-470-0170 |
| Fax | 2514783671 |
Authorized person
| Name | MR. KEITH G. MYERS |
| Role | PRESIDENT / CEO |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 110694 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | 201121 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| GULF HEALTH SERVICES, INC | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
