| Name: | Ivy Creek of Tallapoosa, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Jun 2001 (24 years ago) |
| Entity Number: | 000-676-165 |
| Register Number: | 000676165 |
| Historical Names: |
Ivy Creek of Tallapoosa, l.L.C.
|
| ZIP code: | 36853 |
| County: | Tallapoosa |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 201 MARIARDEN ROADDADEVILLE, AL 36853 |
Activities
MANAGEMENT OF/CONSULTING ON HEALTH CARE ORGANIZATIONS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427773936 | 2022-10-06 | 2022-10-06 | 5958 HIGHWAY 49 S UNIT K, DADEVILLE, AL, 368536771, US | 5958 HIGHWAY 49 S UNIT K, DADEVILLE, AL, 368536771, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 256-825-7871 |
Authorized person
| Name | MICHAEL D BRUCE |
| Role | CEO / OWNER |
| Phone | 3345674311 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRUCE, MIKE | Agent | 201 MARIARDEN RDDADEVILLE, AL 36853 |
| Name | Role | Address |
|---|---|---|
| IVY CREEK HEALTHCARE LLC | Member | 16020 SW 80TH AVENUEMIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| IVY CREEK HEALTHCARE LLC | Organizer | 16020 SW 80TH AVENUEMIAMI, FL 33157 |
| IVY CREEK ASSOCIATES LLC | Organizer | 203 S WASHINGTON STREETAUTAUGAVILLE, AL 36003 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-04-22 | Name Change | Ivy Creek of Tallapoosa, l.L.C. | Ivy Creek of Tallapoosa, L.L.C. |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
