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Delta Kidney Alliance LLC

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Company Details

Name: Delta Kidney Alliance LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jan 2019 (6 years ago)
Business ID: 1162670
ZIP code: 38703
County: Washington
State of Incorporation: MISSISSIPPI
Principal Office Address: 1997 Medical Park Drivegreenville, MS 38703

Agent

Name Role Address
Wilson Parry Agent 203 Valley Dr, Ridgeland, MS 39157

Member

Name Role Address
Wilson Parry Member 203 Valley Dr, Ridgeland, MS 39157
conrad ebner Member po 2120, ridgeland, MS 39158

National Provider Identifier

NPI Number:
1992276851
Certification Date:
2020-09-14

Authorized Person:

Name:
LISA HEARN
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
6623782879

Form 5500 Series

Employer Identification Number (EIN):
832634168
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-04 Annual Report For Delta Kidney Alliance LLC
Annual Report LLC Filed 2024-04-07 Annual Report For Delta Kidney Alliance LLC
Annual Report LLC Filed 2023-01-19 Annual Report For Delta Kidney Alliance LLC
Annual Report LLC Filed 2022-03-16 Annual Report For Delta Kidney Alliance LLC
Annual Report LLC Filed 2021-05-20 Annual Report For Delta Kidney Alliance LLC
Annual Report LLC Filed 2020-05-28 Annual Report For Delta Kidney Alliance LLC
Formation Form Filed 2018-11-27 Formation For Delta Kidney Alliance LLC

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
67800.00
Total Face Value Of Loan:
67800.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
67800
Current Approval Amount:
67800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
68496.83

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Date of last update: 20 May 2025

Sources: Company Profile on Mississippi Secretary of State Website