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Omega Adult Day Care

Headquarter

Details

Name: Omega Adult Day Care
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 27 Mar 2014 (11 years ago)
Entity Number: 000-307-476
Register Number: 000307476
ZIP code: 36607
County: Mobile
Place of Formation: Mobile County
Principal Address: 3109 OLD SHELL RDMOBILE, AL 36607

Activities RELIGIOUS/EDUCATIONAL/BENEVOLENT/CHARITABLE PURPOSES

Links between entities

Type Company Name Company Number State
Headquarter of Omega Adult Day Care, MISSISSIPPI 1073038 MISSISSIPPI

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780089524 2014-10-22 2016-12-02 3109 OLD SHELL RD, MOBILE, AL, 366072620, US 3109 OLD SHELL RD, MOBILE, AL, 366072620, US

Contacts

Phone +1 228-217-6329

Authorized person

Name MS. LESLIE SMITH
Role OWNER
Phone 2282176329

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
73WB8 Obsolete Non-Manufacturer 2014-04-28 2023-07-22 2023-07-21 No data

Contact Information

POC LESLIE SMITH
Phone +1 228-217-6329
Address 3109 OLD SHELL RD, MOBILE, AL, 36607, 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

Agent

Name Role Address
SMITH, LESLIE Agent 625 MCGOWAN DRIVEBIRMINGHAM, AL 35206

Director

Name Role Address
HENINGBURY, LOIS Director 6521 GREEN FORERST DRMOBILE, AL 36618
SHEARLS, CLEVELAND Director 80 PICARDY STMOBILE, AL 36607
BROADNAX, GREGORY Director 580 EVERGREEN STMOBILE, AL 36608

Incorporator

Name Role Address
SMITH, LESLIE Incorporator 625 MCGOWAN DRIVEBIRMINGHAM, AL 35206

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State