Name: | LEWIS HEARING AID CENTER, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 22 May 1969 (56 years ago) |
Date of Dissolution: | 26 Nov 2007 (17 years ago) |
Date of Status Change: | 26 Nov 2007 (17 years ago) |
Identification Number: | 000020571 |
ZIP code: | 02860 |
County: | Providence County |
Principal Address: | 142 BROAD STREET, PAWTUCKET, RI, 02860, USA |
Purpose: | OPERATION OF A HEARING AID CENTER |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245323344 | 2006-10-02 | 2020-08-22 | 142 BROAD STREET, PAWTUCKET, RI, 028602052, US | 142 BROAD STREET, PAWTUCKET, RI, 028602052, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 401-725-1600 |
Fax | 4017251601 |
Authorized person
Name | MR. JOSEPH LEWIS |
Role | PRESIDENT |
Phone | 4017251600 |
Taxonomy
Taxonomy Code | 332S00000X - Hearing Aid Equipment |
License Number | 22 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CHIP |
Number | 401448 |
Issuer | BLUE CROSS 65 |
Number | 277790 |
Issuer | MEDICAID |
Number | LH00016 |
State | RI |
Name | Role | Address |
---|---|---|
JOSEPH LEWIS | Agent | 142 BROAD STREET, PAWTUCKET, RI, 02860, USA |
Name | Role | Address |
---|---|---|
JOSEPH LEWIS | PRESIDENT | 142 BROAD STREET PAWTUCKET, RI 02860 USA |
Number | Name | File Date |
---|---|---|
200806829430 | Registered Office Not Maintained | 2008-02-14 |
200703008460 | Revocation Certificate For Failure to File the Annual Report for the Year | 2007-11-26 |
200702495810 | Revocation Notice For Failure to File An Annual Report | 2007-08-09 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State