| Name: | Hometown Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Jul 2021 (3 years ago) (Companies founded in July 2021) |
| Entity Number: | 000-872-810 |
| Register Number: | 000872810 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 429 S 3RD STREETGADSDEN, AL 35901 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FUEKQJFJLYL8 | 2025-02-27 | 429 S 3RD STREET, GADSDEN, AL, 35901, 5210, USA | 429 S 3RD STREET, GADSDEN, AL, 35901, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-03-04 |
| Initial Registration Date | 2023-03-21 |
| Entity Start Date | 2022-02-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JOHN SUNDAR |
| Address | 311 ARSENAL STREET, WATERTOWN, MA, 02472, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ALLISON VANN |
| Address | 429 S 3RD STREET, GADSDEN, AL, 35901, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013671940 | 2021-10-27 | 2022-03-28 | 429 S 3RD ST, GADSDEN, AL, 359015210, US | 429 S 3RD ST, GADSDEN, AL, 359015210, US | |||||||||||||||
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| Phone | +1 256-413-6000 |
| Fax | 2564136001 |
Authorized person
| Name | ALLISON GATES VANN |
| Role | OWNER |
| Phone | 2564136000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOMETOWN PRIMARY CARE 401(K) PLAN | 2023 | 872014211 | 2024-04-22 | HOMETOWN PRIMARY CARE LLC | 5 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-22 |
| Name of individual signing | ALLISON VANN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2564136000 |
| Plan sponsor’s address | 429 S 3RD ST, GADSDEN, AL, 359015210 |
Signature of
| Role | Plan administrator |
| Date | 2023-01-10 |
| Name of individual signing | RICHARD VANN |
| Role | Employer/plan sponsor |
| Date | 2023-01-10 |
| Name of individual signing | RICHARD VANN |
| Name | Role |
|---|---|
| Vann, Allison | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
