Search icon

HOMETOWN PEDIATRICS, LLC

Details

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

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

Business Information

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
KNOWLES, CHRISTIE D Agent 413 BROAD STREETGADSDEN, AL 35901

Organizer

Name Role Address
KNOWLES, CHRISTIE D Organizer 413 BROAD STREETGADSDEN, AL 35901

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State