| Name: | Suncrest Home Health of AL, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 06 Aug 2009 (16 years ago) |
| Entity Number: | 000-261-690 |
| Register Number: | 000261690 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Authorized Capital: | 1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275764375 | 2009-08-06 | 2020-07-28 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 222 7TH ST S, CLANTON, AL, 350453704, US | |||||||||||||||||||||||||
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| Phone | +1 337-233-1307 |
| Fax | 3374434154 |
| Phone | +1 205-280-4663 |
| Fax | 2052803489 |
Authorized person
| Name | MR. NICHOLAS GACHASSIN III |
| Role | SECRETARY/TREASURER |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 124091 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| HILL, E BRENT | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
