| Name: | Pediatric Care of Chelsea, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Oct 2022 (2 years ago) |
| Entity Number: | 001-043-765 |
| Register Number: | 001043765 |
| Historical Names: |
Blanco Pediatrics & Alignment, LLC
|
| County: | Shelby |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 292 Chesser Park DriveChelsea, AL 35043 |
| Registered Office Street Address ZIP Code: | 35043 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H4GGANE5UAR4 | 2025-02-13 | 15582 HIGHWAY 280 STE 110, CHELSEA, AL, 35043, 8361, USA | 292 CHESSER PARK DR, CHELSEA, AL, 35043, USA | |||||||||||||||||||||||||||||||||||||||
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| Doing Business As | BLANCO PEDIATRICS & ALIGNMENT, LLC |
| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-02-15 |
| Initial Registration Date | 2023-03-16 |
| Entity Start Date | 2022-10-10 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621399 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEPHANIE VARNER |
| Address | 15582 US HWY 280, SUITE 110, CHELSEA, AL, 35043, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEPHANIE VARNER |
| Address | 15582 US HWY 280, SUITE 110, CHELSEA, AL, 35043, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699490847 | 2022-10-10 | 2023-04-28 | 292 CHESSER PARK DR, CHELSEA, AL, 350438197, US | 15582 HIGHWAY 280 STE 110, CHELSEA, AL, 350438361, US | |||||||||||||
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| Phone | +1 205-800-8713 |
Authorized person
| Name | STEPHANIE VARNER |
| Role | OWNER |
| Phone | 2052188987 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Stephanie Varner | Organizer | 292 Chesser Park DriveChelsea, AL 35043 |
| Name | Role |
|---|---|
| Varner, Stephanie | Agent |
| Name | Role | Address |
|---|---|---|
| Stephanie Varner | Member | 292 Chesser Park DriveChelsea, AL 35043 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-01-06 | Name Change | Blanco Pediatrics & Alignment, LLC | Pediatric Care of Chelsea, LLC |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
