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SpineCare, Inc

Details

Name: SpineCare, Inc
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 May 2001 (24 years ago) (Companies founded in May 2001)
Entity Number: 000-216-700
Register Number: 000216700
ZIP code: 35758 (Companies in Madison, 35758)
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 217 ASHLEY WAYMADISON, AL 35758
Authorized Capital: 10,000

Activities CHIROPRACTICE/PHYSICAL REHABILITATIVE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538171004 2006-08-13 2014-10-28 12205 COUNTY LINE RD, SUITE D, MADISON, AL, 357587719, US 12205 COUNTY LINE RD, SUITE D, MADISON, AL, 357587719, US

Contacts
Phone +1 256-461-7775
Fax 2564617756

Authorized person
Name DR. ANTHONY F HOUSSAIN
Role CHIROPRACTOR
Phone 2564617775

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number 1995
State AL
Is Primary No
Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number 1995
State AL
Is Primary No
Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number 1995
State AL
Is Primary No
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number 1995
State AL
Is Primary Yes
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No

Other Provider Identifiers
Issuer BLUE CROSS PROVIDER NUMBER
Number 51505583
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINECARE, INC. 401(K) PLAN 2023 631277814 2024-09-12 SPINECARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564893787
Plan sponsor’s address 11743 COUNTY LINE RD., SUITE A, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing ELIZABETH HOUSSAIN
Valid signature Filed with authorized/valid electronic signature
SPINECARE, INC. 401(K) PLAN 2022 631277814 2023-09-13 SPINECARE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564893787
Plan sponsor’s address 11743 COUNTY LINE RD., SUITE A, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2021 631277814 2022-06-10 SPINECARE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564617775
Plan sponsor’s address 11743 COUNTY LINE RD., SUITE A, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2020 631277814 2021-08-11 SPINECARE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564893787
Plan sponsor’s address 12205 COUNTY LINE RD STE D, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2021-08-11
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2019 631277814 2020-07-14 SPINECARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564893787
Plan sponsor’s address 12205 COUNTY LINE RD STE D, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2018 631277814 2019-09-20 SPINECARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2564893787
Plan sponsor’s address 12205 COUNTY LINE RD STE D, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2019-09-20
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2017 631277814 2018-09-10 SPINECARE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2564893787
Plan sponsor’s address 12205 COUNTY LINE RD STE D, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2018-09-10
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2016 631277814 2017-07-14 SPINECARE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2564893787
Plan sponsor’s address 12205 COUNTY LINE RD STE D, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing ELIZABETH HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2015 631277814 2016-07-20 SPINECARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564617775
Plan sponsor’s address 12205 COUNTY LINE RD. STE D, MADISON, AL, 357587720

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing ANTHONY HOUSSAIN
SPINECARE, INC. 401(K) PLAN 2014 631277814 2015-06-03 SPINECARE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 2564617775
Plan sponsor’s address 12205 COUNTY LINE RD. STE D, MADISON, AL, 357587720

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing ANTHONY HOUSSAIN

Agent

Name Role Address
HOUSSAIN, ANTHONY Agent 810 SHONEY DRIVE SUITE 105HUNTSVILLE, AL 35802

Incorporator

Name Role Address
HOUSSAIN, ANTHONY Incorporator 810 SHONEY DRIVE SUITE 105HUNTSVILLE, AL 35802

Related by officers

HOUSSAIN, ANTHONY

Alabama PainCare, Inc. AIN Holdings, L.L.C.

Related by address

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217 ASHLEY WAYMADISON, AL 35758

Trimax Properties, L.L.c.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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