| 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 (2 years ago) |
| Date of Status Change: | 12 Oct 2022 (2 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 Chiropractors |
| 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 Oct 2024
Sources: Rhode Island Department of State
