| Name: | Avesta Care Medical Staffing, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 May 2018 (7 years ago) |
| Entity Number: | 000-518-995 |
| Register Number: | 000518995 |
| ZIP code: | 36116 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 5853 BREWBAKER BLVDMONTGOMERY, AL 36116 |
| Registered Office Mailing Address: | P.O. BOX 20771MONTGOMERY, AL 36120 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HSDGUJPZKWT3 | 2024-10-10 | 1701 PLATT PL, MONTGOMERY, AL, 36117, 7762, USA | PO BOX 20771, MONTGOMERY, AL, 36120, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | AVESTA CARE MEDICAL STAFFING LLC |
| URL | WWW.AVESTACARE.COM |
| Division Name | AVESTA CARE MEDICAL STAFFING, LLC |
| Division Number | 1 |
| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-10-20 |
| Initial Registration Date | 2023-10-05 |
| Entity Start Date | 2018-06-18 |
| Fiscal Year End Close Date | Dec 23 |
Service Classifications
| NAICS Codes | 561311, 561320, 621420, 621999, 622110, 623220, 623990, 812199, 812990 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | REGINA MITCHELL |
| Role | OWNER |
| Address | 1705 PLATT PLACE, MONTGOMERY, AL, AL, 36117, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | REGINA MITCHELL |
| Address | 1705 PLATT PLACE, MONTGOMERY, AL, AL, 36117, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447016563 | 2024-02-26 | 2024-02-26 | 1705 PLATT PL, MONTGOMERY, AL, 361177762, US | 1705 PLATT PL, MONTGOMERY, AL, 361177762, US | |||||||||||||||||||||||
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| Phone | +1 334-351-9684 |
| Fax | 3346940422 |
Authorized person
| Name | MS. REGINA MITCHELL |
| Role | OWNER |
| Phone | 3343519684 |
Taxonomy
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| AVESTA CARE MEDICAL STAFFING LLC | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
