| Name: | St. Vincent's Home Medical Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 May 2001 (24 years ago) |
| Entity Number: | 000-675-836 |
| Register Number: | 000675836 |
| Historical Names: |
Eastside Home Medical Equipment, LLC
St. Vincent's Home Medical Equipment, LLC |
| ZIP code: | 35501 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | 406 MEDICAL CENTER DRJASPER, AL 35501 |
Activities
HEALTHCARE SERVICES/EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811541642 | 2019-07-30 | 2021-07-20 | 406 MEDICAL CENTER DR., JASPER, AL, 355013400, US | 150 GILBREATH DR., STE. 7, ONEONTA, AL, 351212827, US | |||||||||||||||||||||||||||
|
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| Phone | +1 205-221-8200 |
| Fax | 2052218270 |
| Phone | +1 205-703-0735 |
| Fax | 2058036487 |
Authorized person
| Name | LISA J. WELLS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2052218258 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Name | Role |
|---|---|
| PACE, STEWART H | Agent |
| Name | Role | Address |
|---|---|---|
| EASTSIDE VENTURES INC | Member | No data |
| MED-SOUTH INC | Member | 406 MEDICAL CENTER DRIVEJASPER, AL 35501 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-07-14 | Name Change | St. Vincent's Home Medical Equipment, LLC | St. Vincent's Home Medical Services, LLC |
| 2009-07-01 | Name Change | Eastside Home Medical Equipment, LLC | St. Vincent's Home Medical Equipment, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
