Name: | HOMETOWN PEDIATRICS, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 21 Mar 2019 (6 years ago) (Companies founded in March 2019) |
Entity Number: | 000-547-393 |
Register Number: | 000547393 |
ZIP code: | 35901 (Companies in Etowah, 35901) |
County: | Etowah |
Place of Formation: | Etowah County |
Registered Office Street Address: | 400 BROAD STREETGADSDEN, AL 35901 |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
YDHLPVUWSCA7 | 2023-09-11 | 22136 MEDICAL VILLAGE DRIVE, ATHENS, AL, 35613, USA | 22136 MEDICAL VILLAGE DR, ATHENS, AL, 35613, 2940, USA | |||||||||||||||||||||||||||||||||||||||||
|
URL | hometown-peds.com |
Congressional District | 05 |
State/Country of Incorporation | AL, USA |
Activation Date | 2022-09-13 |
Initial Registration Date | 2021-06-08 |
Entity Start Date | 2019-03-22 |
Fiscal Year End Close Date | Dec 31 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | CHARLES P ROSE |
Role | CFO |
Address | 1359 OLD WATERWORKS RD SW, FORT PAYNE, AL, 35967, 3347, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | CHARLES P ROSE |
Role | CFO |
Address | 1359 OLD WATERWORKS RD SW, FORT PAYNE, AL, 35967, 3347, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669091120 | 2020-04-14 | 2020-07-10 | 22136 MEDICAL VILLAGE DRIVE, ATHENS, AL, 35613, US | 22136 MEDICAL VILLAGE DRIVE, ATHENS, AL, 35613, US | |||||||||||||||
|
Phone | +1 256-648-5598 |
Fax | 8336031295 |
Authorized person
Name | PETER STROGOV |
Role | OWNER |
Phone | 2566485598 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KNOWLES, CHRISTIE D | Agent | 413 BROAD STREETGADSDEN, AL 35901 |
Name | Role | Address |
---|---|---|
KNOWLES, CHRISTIE D | Organizer | 413 BROAD STREETGADSDEN, AL 35901 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State