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AllerVie Health, Professional Corporation

Headquarter

Details

Name: AllerVie Health, Professional Corporation
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Feb 2002 (23 years ago)
Entity Number: 000-680-836
Register Number: 000680836
Historical Names: Alabama Allergy & Asthma Center, LLC
Alabama Allergy & Asthma Center, PC
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 504 BROOKWOOD BOULEVARDBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

Activities OPERATE A MEDICAL CLINIC

Links between entities

Type Company Name Company Number State
Headquarter of AllerVie Health, Professional Corporation 2459187 CONNECTICUT
Headquarter of AllerVie Health, Professional Corporation 20221467611 COLORADO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780629535 2006-06-17 2023-10-24 504 BROOKWOOD BLVD, BIRMINGHAM, AL, 352096802, US 504 BROOKWOOD BLVD, BIRMINGHAM, AL, 352096802, US

Contacts
Phone +1 205-871-9661
Fax 2058701621

Authorized person
Name LILY FLYNN
Role RCM BUSINESS PARTNER
Phone 4692098355

Taxonomy
Taxonomy Code 207K00000X - Allergy & Immunology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529910740
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401(K) PLAN 2015 010615206 2016-09-14 ALABAMA ALLERGY & ASTHMA CENTER, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 504 BROOKWOOD BLVD, BIRMINGHAM, AL, 35209
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401(K) PLAN 2014 010615206 2015-07-31 ALABAMA ALLERGY & ASTHMA CENTER, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 504 BROOKWOOD BLVD, BIRMINGHAM, AL, 35209
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401(K) PLAN 2013 010615206 2014-07-11 ALABAMA ALLERGY & ASTHMA CENTER LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 504 BROOKWOOD BLVD, BIRMINGHAM, AL, 35209
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401(K) PLAN 2012 010615206 2013-10-07 ALABAMA ALLERGY & ASTHMA CENTER LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 504 BROOKWOOD BOULEVARD, BIRMINGHAM, AL, 35209

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing DIANE HEBERT
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401 (K) PLAN 2011 010615206 2012-10-09 ALABAMA ALLERGY & ASTHMA CENTER LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 504 BROOKWOOD BOULEVARD, BIRMINGHAM, AL, 35209

Plan administrator’s name and address
Administrator’s EIN 010615206
Plan administrator’s name ALABAMA ALLERGY & ASTHMA CENTER LLC
Plan administrator’s address 504 BROOKWOOD BOULEVARD, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058719661

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing DIANE HEBERT
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401 (K) PLAN 2010 010615206 2011-07-11 ALABAMA ALLERGY & ASTHMA CENTER LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 10 OLD MONTGOMERY HWY., SUITE 100, BIRMINGHAM, AL, 35209

Plan administrator’s name and address
Administrator’s EIN 010615206
Plan administrator’s name ALABAMA ALLERGY & ASTHMA CENTER LLC
Plan administrator’s address 10 OLD MONTGOMERY HWY., SUITE 100, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058719661

Signature of
Role Plan administrator
Date 2011-07-11
Name of individual signing JAMES CONSOLATI
ALABAMA ALLERGY & ASTHMA CENTER, LLC 401 (K) PLAN 2009 010615206 2010-09-17 ALABAMA ALLERGY & ASTHMA CENTER LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2058719661
Plan sponsor’s address 10 OLD MONTGOMERY HWY., SUITE 100, BIRMINGHAM, AL, 35209

Plan administrator’s name and address
Administrator’s EIN 010615206
Plan administrator’s name ALABAMA ALLERGY & ASTHMA CENTER LLC
Plan administrator’s address 10 OLD MONTGOMERY HWY., SUITE 100, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058719661

Signature of
Role Plan administrator
Date 2010-09-17
Name of individual signing JAMES CONSOLATI

Agent

Name Role
WEILY SOONG, MD Agent

Director

Name Role Address
SOONG, WEILY Director 1524 SHADES CREST ROADBIRMINGHAM, AL 35226

Incorporator

Name Role Address
SOONG, WEILY Incorporator 1524 SHADES CREST ROADBIRMINGHAM, AL 35226

Events

Event Date Event Type Old Value New Value
2021-07-06 Name Change Alabama Allergy & Asthma Center, PC AllerVie Health, Professional Corporation
2021-01-08 Name Change Alabama Allergy & Asthma Center, LLC Alabama Allergy & Asthma Center, PC

Related by officers

SOONG, WEILY

Soong on 24th, LLC Homewood Allergy Building, LLC Allergy Realty, LLC Clinical Research Center of Alabama, LLC Young Teen Asthma & Wellness Camp, Inc.

Related by address

504 BROOKWOOD BOULEVARDBIRMINGHAM, AL 35209

Allergy Realty, LLC Clinical Research Center of Alabama, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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