Name: | Imperial Primary Health & Home Care Services, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 05 Dec 2017 (7 years ago) |
Entity Number: | 000-409-580 |
Register Number: | 000409580 |
ZIP code: | 36603 |
County: | Mobile |
Place of Formation: | Mobile County |
Registered Office Street Address: | 1311 LOLA STREETMOBILE, AL 36603 |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
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RRE4EDQ2DU95 | 2024-07-31 | 1311 LOLA ST, MOBILE, AL, 36603, 5478, USA | 1311 LOLA STREET, 451 SOUTH BROAD STREET, MOBILE, AL, 36603, USA | |||||||||||||||||||||||||||||||||||||||||||
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Doing Business As | IMPERIAL PRIMARY HEALTH & HOME CARE SERVICES LLC |
Division Name | IMPERIAL PRIMARY HEALTH & HOME CARE SERVICES, LLC |
Congressional District | 01 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-08-03 |
Initial Registration Date | 2021-03-10 |
Entity Start Date | 2017-12-05 |
Fiscal Year End Close Date | Dec 31 |
Service Classifications
NAICS Codes | 561311, 561320, 621399, 621498, 621610, 623210, 623990, 624120, 624190, 812199 |
Product and Service Codes | Q402, R401 |
Points of Contacts
Electronic Business | |
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Title | PRIMARY POC |
Name | AMESHIA BUSH-TAYLOR |
Address | 1311 LOLA STREET, 451 SOUTH BROAD STREET, MOBILE, AL, 36603, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | AMESHIA BUSH-TAYLOR |
Address | 1311 LOLA STREET, 451 SOUTH BROAD STREET, MOBILE, AL, 36603, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
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1952883894 | 2018-09-06 | 2022-10-26 | 451 S BROAD ST, MOBILE, AL, 366031121, US | 451 S BROAD ST, MOBILE, AL, 366031121, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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Phone | +1 251-654-7453 |
Fax | 2513806973 |
Authorized person
Name | MRS. AMESHIA D BUSH-TAYLOR |
Role | NURSE PRACTITIONER |
Phone | 2516547453 |
Taxonomy
Taxonomy Code | 174200000X - Meals Provider |
Is Primary | No |
Taxonomy Code | 177F00000X - Lodging Provider |
Is Primary | No |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | No |
Taxonomy Code | 261QC1800X - Corporate Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | No |
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | No |
Taxonomy Code | 376J00000X - Homemaker |
License Number | 1-081016 |
State | AL |
Is Primary | Yes |
Taxonomy Code | 385H00000X - Respite Care |
Is Primary | No |
Name | Role | Address |
---|---|---|
BUSH-TAYLOR, AMESHIA | Agent | 1311 LOLA STREETMOBILE, AL 36603 |
Name | Role | Address |
---|---|---|
BUSH-TAYLOR, AMESHIA | Organizer | 1311 LOLA STREETMOBILE, AL 36603 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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5615797410 | 2020-05-12 | 0459 | PPP | 1131 lola street,, mobile, AL, 36603 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Active | P2615813 | IMPERIAL PRIMARY HEALTH & HOME CARE SERVICES, LLC | IMPERIAL PRIMARY HEALTH & HOME CARE SERVICES LLC | RRE4EDQ2DU95 | 1311 LOLA ST, MOBILE, AL, 36603-5478 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HUBZone Certified | No |
Women Owned Certified | No |
Women Owned Pending | No |
Economically Disadvantaged Women Owned Certified | No |
Economically Disadvantaged Women Owned Pending | No |
Veteran-Owned Small Business Certified | No |
Veteran-Owned Small Business Joint Venture | No |
Service-Disabled Veteran-Owned Small Business Certified | No |
Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
Description | Construction Bonding Level (per contract) |
Level | $0 |
Description | Construction Bonding Level (aggregate) |
Level | $0 |
Description | Service Bonding Level (per contract) |
Level | $0 |
Description | Service Bonding Level (aggregate) |
Level | $0 |
NAICS Codes with Size Determinations by NAICS
Primary | Yes |
Code | 624120 |
NAICS Code's Description | Services for the Elderly and Persons with Disabilities |
Small | Yes |
Code | 561311 |
NAICS Code's Description | Employment Placement Agencies |
Small | Yes |
Code | 561320 |
NAICS Code's Description | Temporary Help Services |
Small | Yes |
Code | 621399 |
NAICS Code's Description | Offices of All Other Miscellaneous Health Practitioners |
Small | Yes |
Code | 621498 |
NAICS Code's Description | All Other Outpatient Care Centers |
Small | Yes |
Code | 621610 |
NAICS Code's Description | Home Health Care Services |
Small | Yes |
Code | 623210 |
NAICS Code's Description | Residential Intellectual and Developmental Disability Facilities |
Small | Yes |
Code | 623990 |
NAICS Code's Description | Other Residential Care Facilities |
Small | Yes |
Code | 624190 |
NAICS Code's Description | Other Individual and Family Services |
Small | Yes |
Code | 812199 |
NAICS Code's Description | Other Personal Care Services |
Small | Yes |
Export Profile (Trade Mission Online)
Exporter | No |
Export Business Activities | (none given) |
Exporting to | (none given) |
Desired Export Business Relationships | (none given) |
Description of Export Objective(s) | (none given) |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State