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Kids R Us Pediatrics LLC

Details

Name: Kids R Us Pediatrics LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Dec 2019 (5 years ago)
Entity Number: 000-595-312
Register Number: 000595312
County: Marshall
Place of Formation: Marshall County
Registered Office Street Address: 3041 WATERFRONT STREETGUNTERSVILLE, AL 35976
Registered Office Street Address ZIP Code: 35976

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
UHSGYKASHL75 2024-12-20 121 GOLFVIEW DR NE, ARAB, AL, 35016, 5473, USA 121 GOLFVIEW DR NE, ARAB, AL, 35016, 5473, USA

Business Information

URL https://www.kidsruspediatrics.com
Congressional District 04
State/Country of Incorporation AL, USA
Activation Date 2023-12-25
Initial Registration Date 2021-06-07
Entity Start Date 2019-12-13
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JON MILLER
Address 121 GOLFVIEW DR NE, ARAB, AL, 35016, 5473, USA
Government Business
Title PRIMARY POC
Name JON MILLER
Address 121 GOLFVIEW DR NE, ARAB, AL, 35016, 5473, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639718562 2019-12-23 2020-12-03 121 GOLFVIEW DR NE, ARAB, AL, 350165473, US 121 GOLFVIEW DR NE, ARAB, AL, 350165473, US

Contacts

Phone +1 256-931-5437
Fax 8337531386

Authorized person

Name DR. TONYA RENEE MILLER
Role PHYSICIAN/OWNER
Phone 2569315437

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDS R US PEDIATRICS 401K PLAN 2023 844032378 2024-08-13 KIDS R US PEDIATRICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2569315437
Plan sponsor’s address 121 GOLFVIEW DR. NE, ARAB, AL, 35016

Plan administrator’s name and address

Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of

Role Plan administrator
Date 2024-08-13
Name of individual signing ALAN SPAIN
KIDS R US PEDIATRICS 401K PLAN 2022 844032378 2023-04-30 KIDS R US PEDIATRICS 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2569315437
Plan sponsor’s address 121 GOLFVIEW DR. NE, ARAB, AL, 35016

Plan administrator’s name and address

Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of

Role Plan administrator
Date 2023-04-30
Name of individual signing ALAN SPAIN

Agent

Name Role Address
MILLER, TONYA Agent 101 FERN DRHEADLAND, AL 36345

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State