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Alabama Heart Care, LLC

Details

Name: Alabama Heart Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Sep 2008 (16 years ago)
Entity Number: 000-425-575
Register Number: 000425575
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: NORTHPORT, AL
Registered Office Street Address: 730 ENERGY CENTER BLVD STE 1403NORTHPORT, AL 35473
Registered Office Street Address ZIP Code: 35473

Activities MEDICAL CARE SERVICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215187497 2008-09-24 2010-11-15 3909 GAINESWOOD LN, TUSCALOOSA, AL, 354063568, US 4810 HARKEY LANE, TUSCALOOSA, AL, 35406, US

Contacts
Phone +1 205-242-3013
Phone +1 205-344-6344
Fax 2053446464

Authorized person
Name DR. ANAND PANDEY
Role PHYSICIAN
Phone 2052423013

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number 20271
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 510-47575
State AL
Issuer MEDICAID
Number 1215187497
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA HEART CARE, LLC CASH BALANCE PLAN 2020 263420908 2021-03-26 ALABAMA HEART CARE, LLC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
ALABAMA HEART CARE, LLC CASH BALANCE PLAN 2019 263420908 2020-07-24 ALABAMA HEART CARE, LLC 4
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
ALABAMA HEART CARE, LLC CASH BALANCE PLAN 2019 263420908 2021-03-26 ALABAMA HEART CARE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
ALABAMA HEART CARE LLC 401K/PROFIT SHARING PLAN 2018 263420908 2019-07-31 ALABAMA HEART CARE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 263420908
Plan administrator’s name ALABAMA HEART CARE LLC
Plan administrator’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053446344
ALABAMA HEART CARE, LLC CASH BALANCE PLAN 2018 263420908 2019-05-14 ALABAMA HEART CARE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
ALABAMA HEART CARE LLC 401K/PROFIT SHARING PLAN 2017 263420908 2018-07-17 ALABAMA HEART CARE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 263420908
Plan administrator’s name ALABAMA HEART CARE LLC
Plan administrator’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053446344
ALABAMA HEART CARE, LLC CASH BALANCE PLAN 2017 263420908 2018-06-04 ALABAMA HEART CARE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
ALABAMA HEART CARE, LLC CASH BALANCE PLAN 2016 263420908 2017-10-16 ALABAMA HEART CARE, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
ALABAMA HEART CARE LLC 401K/PROFIT SHARING PLAN 2016 263420908 2017-05-08 ALABAMA HEART CARE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 263420908
Plan administrator’s name ALABAMA HEART CARE LLC
Plan administrator’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053446344
ALABAMA HEART CARE LLC 401K/PROFIT SHARING PLAN 2015 263420908 2016-07-28 ALABAMA HEART CARE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2053446344
Plan sponsor’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 263420908
Plan administrator’s name ALABAMA HEART CARE LLC
Plan administrator’s address 4810 HARKEY LANE, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053446344

Agent

Name Role
PANDEY, ANAND Agent

Member

Name Role
PANDEY, ANAND Member

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730 ENERGY CENTER BLVD STE 1403NORTHPORT, AL 35473

Wrapup RLZ, Inc.

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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