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Southern Care, LLC dba Sunset Manor

Details

Name: Southern Care, LLC dba Sunset Manor
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Apr 2004 (21 years ago) (Companies founded in April 2004)
Entity Number: 000-451-231
Register Number: 000451231
Historical Names: Southern Care, LLC
ZIP code: 35563 (Companies in Marion, 35563)
County: Marion
Place of Formation: Marion County
Registered Office Street Address: 251 SUNSET PLGUIN, AL 35563

Activities OWN/MANAGE NURSING HOME/ASSISTED CARE FACILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023001153 2005-08-24 2008-01-18 251 SUNSET PL, GUIN, AL, 355632239, US 251 SUNSET PL, GUIN, AL, 355632239, US

Contacts

Phone +1 205-468-3331
Fax 2054683013

Authorized person

Name MR. LANCE JUNKIN
Role ADMINISTRATOR OWNER
Phone 2054683331

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 10602
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 4753190S
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN CARE, L.L.C. 401(K) PLAN 2023 201200690 2024-07-29 SOUTHERN CARE, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing JOHN ANSAY
SOUTHERN CARE, L.L.C. 401(K) PLAN 2022 201200690 2023-07-25 SOUTHERN CARE, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Signature of

Role Plan administrator
Date 2023-07-25
Name of individual signing JOHN ANSAY
SOUTHERN CARE, L.L.C. 401(K) PLAN 2021 201200690 2022-06-22 SOUTHERN CARE, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Signature of

Role Plan administrator
Date 2022-06-22
Name of individual signing JOHN ANSAY
SOUTHERN CARE, L.L.C. 401(K) PLAN 2020 201200690 2021-09-24 SOUTHERN CARE, LLC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Signature of

Role Plan administrator
Date 2021-09-24
Name of individual signing JOHN ANSAY
SOUTHERN CARE, L.L.C. 401(K) PLAN 2019 201200690 2020-10-10 SOUTHERN CARE, LLC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2020-10-10
Name of individual signing KATHY BITTLE
SOUTHERN CARE, L.L.C. 401(K) PLAN 2018 201200690 2019-10-13 SOUTHERN CARE, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2019-10-13
Name of individual signing KATHY BITTLE
SOUTHERN CARE, L.L.C. 401(K) PLAN 2017 201200690 2018-10-14 SOUTHERN CARE, LLC 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2018-10-14
Name of individual signing KATHY BITTLE
SOUTHERN CARE, L.L.C. 401(K) PLAN 2016 201200690 2017-09-07 SOUTHERN CARE, LLC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2017-09-07
Name of individual signing KATHY BITTLE
SOUTHERN CARE, L.L.C. 401(K) PLAN 2015 201200690 2016-07-27 SOUTHERN CARE, LLC 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2016-07-27
Name of individual signing KATHY BITTLE
SOUTHERN CARE, L.L.C. 401(K) PLAN 2014 201200690 2015-10-12 SOUTHERN CARE, LLC 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 623000
Sponsor’s telephone number 2054683331
Plan sponsor’s address 251 SUNSET PLACE, GUIN, AL, 35563

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing KATHY BITTLE

Member

Name Role Address
JUNKIN, LANCE H Member 251 SUNSET PLACEGUIN, AL 35563
JUNKIN, CHRISTIE L Member No data

Agent

Name Role Address
JUNKIN, LANCE H Agent 251 SUNSET PLACEGUIN, AL 35563

Events

Event Date Event Type Old Value New Value
2016-08-05 Name Change Southern Care, LLC Southern Care, LLC dba Sunset Manor

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State