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Jackson County Pediatric Extended Care LLC

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Company Details

Name: Jackson County Pediatric Extended Care LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 08 Oct 2015 (10 years ago)
Business ID: 1077483
ZIP code: 39567
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 2025 JACKSON AVEPASCAGOULA, MS 39567
Fictitious names: Gulf Coast Pediatric Care Pascagoula

Agent

Name Role Address
REBEKAH ROBERTS Agent 2025 JACKSON AVE, PASCAGOULA, MS 39567

Manager

Name Role Address
MARK BAKER HAMMOND Manager PO BOX 990, MONTROSE, AL 36559
ASHLEY HAMMOND Manager PO BOX 990, MONTROSE, AL 36559
DRURY H BYNUM Manager 2309 Valencia Blvd, MONROE, LA 71201

Member

Name Role Address
MARK BAKER HAMMOND Member PO BOX 990, MONTROSE, AL 36559
ASHLEY HAMMOND Member PO BOX 990, MONTROSE, AL 36559
DRURY H BYNUM Member 2309 Valencia Blvd, MONROE, LA 71201

National Provider Identifier

NPI Number:
1588104814

Authorized Person:

Name:
ASHLEY HAMMOND
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
3140N1450X - Pediatric Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
2282060704

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-19 Annual Report For Jackson County Pediatric Extended Care LLC
Annual Report LLC Filed 2024-02-16 Annual Report For Jackson County Pediatric Extended Care LLC
Annual Report LLC Filed 2023-02-09 Annual Report For Jackson County Pediatric Extended Care LLC
Annual Report LLC Filed 2022-03-13 Annual Report For Jackson County Pediatric Extended Care LLC
Fictitious Name Renewal Filed 2021-12-30 Fictitious Name Renewal For Jackson County Pediatric Extended Care LLC
Annual Report LLC Filed 2021-04-14 Annual Report For Jackson County Pediatric Extended Care LLC
Amendment Form Filed 2020-09-15 Amendment For Jackson County Pediatric Extended Care LLC
Annual Report LLC Filed 2020-04-13 Annual Report For Jackson County Pediatric Extended Care LLC
Amendment Form Filed 2019-09-19 Amendment For Jackson County Pediatric Extended Care LLC
Annual Report LLC Filed 2019-05-16 Annual Report For Jackson County Pediatric Extended Care LLC

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Date of last update: 16 May 2025

Sources: Company Profile on Mississippi Secretary of State Website