| Name: | A Heartbeat Away Inc |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 06 Aug 2014 (10 years ago) |
| Entity Number: | 000-315-588 |
| Register Number: | 000315588 |
| ZIP code: | 35601 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 166 JARRETT RDHARTSELLE, AL 35640 |
| Principal Address: | 1416 6TH AVENUEDECATUR, AL 35601 |
| Principal Mailing Address: | PO BOX 576HARTSELLE, AL 35758 |
| Authorized Capital: | 100 @ .01 PV |
Activities
MEDICAL CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710361829 | 2015-07-17 | 2015-07-17 | 1416 6TH AVE SE, DECATUR, AL, 356014247, US | 1416 6TH AVE SE, DECATUR, AL, 356014247, US | |||||||||||||||||||
|
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| Phone | +1 256-333-1997 |
| Fax | 2563335007 |
Authorized person
| Name | MRS. KIMBERLY SAMUEL |
| Role | PRESIDENT |
| Phone | 2563331997 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | R009070220 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7PR55 | Obsolete | Non-Manufacturer | 2016-09-06 | 2022-02-07 | 2022-02-06 | No data | |||||||||||||
|
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| POC | KIMBERLY T . SAMUEL |
| Phone | +1 256-333-1997 |
| Address | 1625 WOLVERINE DR SE, DECATUR, MORGAN, AL, 35601 4933, 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 | Address |
|---|---|---|
| SAMUEL, EUSEBIO | Director | 166 JARRETT ROADHARTSELLE, AL 35640 |
| SAMUEL, KIMBERLY | Director | 166 JARRETT RDHARTSELLE, AL 35640 |
| Name | Role | Address |
|---|---|---|
| SAMUEL, KIMBERLY | Incorporator | 166 JARRETT RDHARTSELLE, AL 35640 |
| Name | Role | Address |
|---|---|---|
| SAMUEL, KIMBERLY | Agent | 166 JARRETT RDHARTSELLE, AL 35640 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
