| Name: | HOPE CHIROPRACTIC CENTRE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 04 Nov 1982 (42 years ago) |
| Date of Dissolution: | 12 Oct 2022 (3 years ago) |
| Date of Status Change: | 12 Oct 2022 (3 years ago) |
| Identification Number: | 000017564 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 635 HOPE STREET, PROVIDENCE, RI, 02906, USA |
| Purpose: | CHIROPRACTIC TREATMENT |
NAICS
621310 Offices of ChiropractorsThis industry comprises establishments of health practitioners having the degree of D.C. (Doctor of Chiropractic) primarily engaged in the independent practice of chiropractic. These practitioners provide diagnostic and therapeutic treatment of neuromusculoskeletal and related disorders through the manipulation and adjustment of the spinal column and extremities, and operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154457869 | 2007-02-26 | 2008-10-16 | 635 HOPE ST, PROVIDENCE, RI, 029062652, US | 635 HOPE ST, PROVIDENCE, RI, 029062652, US | |||||||||||||||||||||||||||||||
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| Phone | +1 401-351-6390 |
| Fax | 4013310614 |
Authorized person
| Name | DR. RUSSELL DAVID BROCCOLI |
| Role | PRESIDENT |
| Phone | 4013516390 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DCP00204 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD RI |
| Number | 9047-6 |
| State | RI |
| Issuer | INDIVIDUAL NPI NUMBER |
| Number | 1689740607 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| RUSSELL D. BROCCOLI | Agent | 635 HOPE STREET, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| RUSSELL D BROCCOLI DC | PRESIDENT | 635 HOPE STREET PROVIDENCE, RI 02906- USA |
| Number | Name | File Date |
|---|---|---|
| 202223870880 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202219989570 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202187781400 | Annual Report | 2021-01-26 |
| 202035909550 | Annual Report | 2020-03-05 |
| 201985664520 | Annual Report | 2019-01-31 |
| 201857717170 | Annual Report | 2018-02-06 |
| 201730039690 | Annual Report | 2017-01-12 |
| 201691277940 | Annual Report | 2016-01-26 |
| 201565785270 | Annual Report | 2015-07-23 |
| 201564630580 | Revocation Notice For Failure to File An Annual Report | 2015-07-09 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
