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Life Care Hospice, LLC

Details

Name: Life Care Hospice, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Aug 2008 (16 years ago)
Entity Number: 000-423-818
Register Number: 000423818
Historical Names: LCH Acquisition, LLC
ZIP code: 35091
County: Jefferson
Place of Formation: Jefferson County
Principal Address: KIMBERLY, AL
Registered Office Street Address: 9443 AMBROSE LANEKIMBERLY, AL 35091

Activities HOSPICE/PALLIATIVE CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861785735 2011-05-25 2013-09-18 934 GRUBBS AVE, GARDENDALE, AL, 350712637, US 934 GRUBBS AVE, GARDENDALE, AL, 350712637, US

Contacts

Phone +1 205-631-6636
Fax 2056316607

Authorized person

Name MS. VICKI GAIL TRULL
Role ADMINISRTATOR
Phone 2563390431

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number 6465
State AL
Is Primary Yes

Other Provider Identifiers

Issuer SHPDA ID NUMBER
Number 073-P3725
State AL
Issuer STALE LICENSE
Number E3727
State AL

Agent

Name Role
RIGGINS, VICKI T Agent

Member

Name Role
HEALTHCARE INVESTMENTS LLC Member

Events

Event Date Event Type Old Value New Value
2009-10-27 Name Change LCH Acquisition, LLC Life Care Hospice, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State