Home Medical Equipment Service Providers
Fields marked with an
*
are required.
To access the license renewal application, please supply the license number and Tax-ID for the facility.
While using the application:
Companies have until October 31st to renew licenses.
A Late Fee will be charged for late renewals beginning September 1st.
The company insurance policy number and expiration will be required during the renewal process.
Any changes to company information must be approved by the Board and can not be performed online.
Please call the Board directly at 334-215-3474 with any questions.
Before submitting payment, please make sure all information is correct.
Visa, MasterCard, Discover, and American Express or e-check (ACH) payments will be accepted for online renewals.
(service fees will apply)
.
License Type
Permit Fee
License Renewal
$250.00
Late Renewal
$400.00
Once payment is received, your credit card or bank statement will reflect a payment to
Alabama Interactive
.
Please PRINT the receipt page for your records.
Please enter the following information to login.
License Number:
*
Provider Tax-ID:
*
(ex: 12-1234567 or 123-12-1234)
Important Note: If there has been a change in any company information (Person In Charge, Ownership, Address Change) a new aplication and a site inspection will be required. The new application and instructions are available at
www.homemed.alabama.gov
.