| Name: | Renal Associates of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Mar 2018 (7 years ago) (Companies founded in March 2018) |
| Entity Number: | 000-513-783 |
| Register Number: | 000513783 |
| ZIP code: | 36867 (Companies in Russell, 36867) |
| County: | Russell |
| Place of Formation: | Russell County |
| Registered Office Street Address: | 4391 RIVERCHASE DRIVEPHENIX CITY, AL 36867 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447742168 | 2018-05-30 | 2024-03-11 | 6228 BRADLEY PARK DR STE A, COLUMBUS, GA, 319043605, US | 42 MITYLENE PARK LANE, MONTGOMERY, AL, 36117, US | |||||||||||||||||||||||
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| Phone | +1 706-322-1486 |
| Fax | 7063243419 |
| Phone | +1 334-603-6626 |
| Fax | 3342397808 |
Authorized person
| Name | MR. FERDINAND Q ALCAIDE |
| Role | OWNER/PARTNER |
| Phone | 7063221486 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RENAL ASSOCIATES OF ALABAMA, LLC PLAN | 2023 | 825334044 | 2024-07-29 | RENAL ASSOCIATES OF ALABAMA, LLC | 12 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-29 |
| Name of individual signing | JOHN ANSAY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621492 |
| Sponsor’s telephone number | 7063221486 |
| Plan sponsor’s address | 239 MITYLENE PARK DRIVE, MONTGOMERY, AL, 36117 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-29 |
| Name of individual signing | JOHN ANSAY |
| Name | Role |
|---|---|
| RAMANATH, VINAYAK | Agent |
| Name | Role | Address |
|---|---|---|
| BEIL, JACOB | Organizer | P.O. BOX 1126COLUMBUS, GA 31902 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
