| Name: | Accredo Health Group, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 29 Jan 1997 (28 years ago) |
| Entity Number: | 000-910-405 |
| Register Number: | 000910405 |
| Historical Names: |
Olsten Health Services (Quantum) Corp.
Gentiva Health Services (Quantum) Corp. Accredo Therapeutics, Inc. |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 175 BROAD HOLLOW RDMELVILLE, NY 11747 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851346522 | 2006-05-23 | 2019-10-07 | PO BOX 954041, SAINT LOUIS, MO, 631950001, US | 2100 RIVERCHASE CENTER, SUITE 405, HOOVER, AL, 352441858, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 901-381-7141 |
| Fax | 9012616924 |
| Phone | +1 205-987-0778 |
| Fax | 2059870332 |
Authorized person
| Name | VIC PERINI |
| Role | ASSISTANT SECRETARY |
| Phone | 3146846273 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 112423 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009905340 |
| State | AL |
| Issuer | PK |
| Number | 1993834 |
| Issuer | MEDICAID |
| Number | 100002973 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2004-03-09 | Name Change | Accredo Therapeutics, Inc. | Accredo Health Group, Inc. |
| 2002-07-16 | Name Change | Gentiva Health Services (Quantum) Corp. | Accredo Therapeutics, Inc. |
| 2001-05-14 | Name Change | Olsten Health Services (Quantum) Corp. | Gentiva Health Services (Quantum) Corp. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
