| Name: | Eastern Valley Home Health & Equipment, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Jul 1997 (28 years ago) |
| Date of dissolution: | 28 Sep 2016 |
| Entity Number: | 000-189-240 |
| Register Number: | 000189240 |
| ZIP code: | 35020 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BESSEMER, AL |
| Registered Office Street Address: | 1310 EASTERN VALLEY ROADBESSEMER, AL 35020 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649257114 | 2005-12-27 | 2008-10-06 | 1308 EASTERN VALLEY RD, BESSEMER, AL, 350208609, US | 1308 EASTERN VALLEY RD, BESSEMER, AL, 350208609, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-425-9800 |
| Fax | 2054255354 |
Authorized person
| Name | MR. TERRY C ADAMS |
| Role | PARTNER |
| Phone | 2054259800 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 370055937 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51506437 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009993900 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EASTERN VALLEY HOME HEALTH & EQUIPMENT 401(K) PROFIT SHARING PLAN | 2009 | 721386328 | 2010-04-08 | EASTERN VALLEY HOME HEALTH & EQUIPMENT, INC. | 9 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 721386328 |
| Plan administrator’s name | EASTERN VALLEY HOME HEALTH & EQUIPMENT, INC. |
| Plan administrator’s address | 1310 EASTERN VALLEY ROAD, BESSEMER, AL, 35020 |
| Administrator’s telephone number | 2054263784 |
Signature of
| Role | Plan administrator |
| Date | 2010-04-07 |
| Name of individual signing | KERRY PRICKETT |
| Name | Role |
|---|---|
| PRICKETT, CHARLES E | Agent |
| Name | Role |
|---|---|
| PRICKETT, CHARLES E | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
