| Name: | Alabama Institute for Sleep Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Apr 2022 (3 years ago) |
| Entity Number: | 001-014-757 |
| Register Number: | 001014757 |
| County: | Cullman |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1803 PARK VIEW DRIVE NECULLMAN COUNTY, AL 35058 |
| Registered Office Street Address ZIP Code: | 35058 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548902299 | 2022-04-12 | 2023-01-11 | 1803 PARK VIEW DRIVE, NE, CULLMAN, AL, 350583618, US | 1803 PARK VIEW DRIVE, NE, CULLMAN, AL, 350583618, US | |||||||||||||||||||
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| Phone | +1 256-739-7050 |
| Fax | 2567397052 |
Authorized person
| Name | DR. GORDON SCOTT WARNER |
| Role | MEDICAL DIRECTOR |
| Phone | 2567397050 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RETIREMENT INCOME SECURITY PLAN-ALABAMA INSTITUTE FOR SLEEP HEALTH, LLC | 2023 | 881716433 | 2024-08-02 | ALABAMA INSTITUTE FOR SLEEP HEALTH, LLC | 9 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 821222973 |
| Plan administrator’s name | HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s address | 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number | 8778602664 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-02 |
| Name of individual signing | STEVEN STOUT |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-07-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2567397050 |
| Plan sponsor’s address | 1803 PARK VIEW DIVE NE, CULLMAN, AL, 35058 |
Plan administrator’s name and address
| Administrator’s EIN | 821222973 |
| Plan administrator’s name | HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s address | 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number | 8778602664 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-20 |
| Name of individual signing | STEVEN STOUT |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-07-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2567397050 |
| Plan sponsor’s address | 1803 PARK VIEW DIVE NE, CULLMAN, AL, 35058 |
Plan administrator’s name and address
| Administrator’s EIN | 821222973 |
| Plan administrator’s name | HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s address | 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number | 8778602664 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-24 |
| Name of individual signing | STEVEN STOUT |
| Name | Role |
|---|---|
| WARNER, SCOTT G. | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
