| Name: | Central Avenue Dentistry LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Oct 2020 (4 years ago) (Companies founded in October 2020) |
| Entity Number: | 000-785-211 |
| Register Number: | 000785211 |
| Historical Names: |
Homewood Hills Dentistry, LLC
|
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 2901 Central AvenueBirmingham, AL 35209 |
| Registered Office Street Address: | 3570 INDEPENDENCE DRIVEHOMEWOOD, AL 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407504186 | 2022-03-12 | 2022-03-28 | 2901 CENTRAL AVE, BIRMINGHAM, AL, 352092505, US | 2901 CENTRAL AVE, BIRMINGHAM, AL, 352092505, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-870-1363 |
Authorized person
| Name | CHELSEA ASHWORTH MANISCALCO |
| Role | DENTIST |
| Phone | 2058701363 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL AVENUE DENTISTRY 401K PLAN | 2023 | 853552931 | 2024-07-29 | CENTRAL AVENUE DENTISTRY, LLC | 3 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| 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 | 2024-07-29 |
| Name of individual signing | ALAN SPAIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2058701363 |
| Plan sponsor’s address | 2901 CENTRAL AVENUE, BIRMINGHAM, AL, 35209 |
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 | 2023-06-19 |
| Name of individual signing | ALAN SPAIN |
| Name | Role | Address |
|---|---|---|
| MANISCALCO, CHELSEA | Agent | 3570 INDEPENDENCE DRIVEHOMEWOOD, AL 35209 |
| Name | Role | Address |
|---|---|---|
| MANISCALCO, CHELSEA | Organizer | 3570 INDEPENDENCE DRIVEHOMEWOOD, AL 35209 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2022-03-08 | Name Change | Homewood Hills Dentistry, LLC | Central Avenue Dentistry LLC |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
