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BROOKDALE HOME HEALTH, LLC

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Company Details

Legal Name: BROOKDALE HOME HEALTH, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Withdrawn
Formation/ Registration Date: December 23rd 2014
Date of Dissolution: April 8th 2022
Expiration date: 31 Dec 2022
UBI Number: 603 462 319
Home State: TENNESSEE
Principal Office Street Address: Google Maps Logo 1 PARK PLZ, NASHVILLE, TN, 37203, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 750, NASHVILLE, TN, 37202-0750, UNITED STATES

Contact Details

E-Mail: SHIRLEY.SCHARF@HCAHEALTHCARE.COM

Nature of Business

HOME HEALTH SERVICES

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role
A. BRUCE MOORE, JR. Governing Person
SAMUEL HAZEN Governing Person
CHRISTOPHER WYATT Governing Person

National Provider Identifier

NPI Number:
1316337298
Certification Date:
2020-05-14

Authorized Person:

Name:
DONNIS M. EVANS
Role:
MANAGER, REGULATORY PRACTICES
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

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