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Rhode Island Hand Center, P.C.

Company Details

Name: Rhode Island Hand Center, P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Jan 1986 (39 years ago)
Identification Number: 000037279
ZIP code: 02920
County: Providence County
Principal Address: 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA
Purpose: ORTHOPEDIC SURGERY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Historical names: LEONARD F. HUBBARD, M.D., INCORPORATED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841249935 2006-05-08 2016-03-11 1150 RESERVOIR AVENUE, SUITE 301, CRANSTON, RI, 02920, US 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, US

Contacts

Phone +1 401-942-0280
Fax 4019427230

Authorized person

Name LEONARD FIELD HUBBARD
Role PRESIDENT OWNER
Phone 4019420280

Taxonomy

Taxonomy Code 207XS0106X - Orthopaedic Hand Surgery Physician
Is Primary Yes
Taxonomy Code 2251H1200X - Hand Physical Therapist
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number RI03479
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RI HAND & ORTHOPEDIC CENTER IN 401(K) PROFIT SHARING PLAN & TRUST 2023 050419159 2024-10-15 RHODE ISLAND HAND CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4017442415
Plan sponsor’s address JILL HUBBARD, 88 COLUMBIA AVE, JAMESTOWN, RI, 028351345

Plan administrator’s name and address

Administrator’s EIN 050419159
Plan administrator’s name JILL HUBBARD
Plan administrator’s address 88 COLUMBIA AVENUE, JAMESTOWN, RI, 02835
Administrator’s telephone number 4012755653

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing JILL HUBBARD
Valid signature Filed with authorized/valid electronic signature
RI HAND & ORTHOPEDIC CENTER IN 401(K) PROFIT SHARING PLAN & TRUST 2022 050419159 2023-07-26 RHODE ISLAND HAND CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4017442415
Plan sponsor’s address JILL HUBBARD, 88 COLUMBIA AVE, JAMESTOWN, RI, 028351345

Plan administrator’s name and address

Administrator’s EIN 050419159
Plan administrator’s name JILL HUBBARD
Plan administrator’s address 88 COLUMBIA AVENUE, JAMESTOWN, RI, 02835
Administrator’s telephone number 4012755653

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing JILL HUBBARD
Valid signature Filed with authorized/valid electronic signature
RI HAND & ORTHOPEDIC CENTER IN 401(K) PROFIT SHARING PLAN & TRUST 2021 050419159 2022-10-17 RHODE ISLAND HAND CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4017442415
Plan sponsor’s address JILL HUBBARD, 88 COLUMBIA AVE, JAMESTOWN, RI, 028351345

Plan administrator’s name and address

Administrator’s EIN 050419159
Plan administrator’s name JILL HUBBARD
Plan administrator’s address 88 COLUMBIA AVENUE, JAMESTOWN, RI, 02835
Administrator’s telephone number 4012755653

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing JILL HUBBARD
Valid signature Filed with authorized/valid electronic signature
RI HAND & ORTHOPEDIC CENTER IN 401(K) PROFIT SHARING PLAN & TRUST 2020 050419159 2021-09-17 RHODE ISLAND HAND CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4017442415
Plan sponsor’s address JILL HUBBARD, 88 COLUMBIA AVE, JAMESTOWN, RI, 028351345

Plan administrator’s name and address

Administrator’s EIN 050419159
Plan administrator’s name JILL HUBBARD
Plan administrator’s address 88 COLUMBIA AVENUE, JAMESTOWN, RI, 02835
Administrator’s telephone number 4012755653

Signature of

Role Plan administrator
Date 2021-09-17
Name of individual signing JILL HUBBARD
Valid signature Filed with authorized/valid electronic signature
RI HAND & ORTHOPEDIC CENTER IN 401(K) PROFIT SHARING PLAN & TRUST 2020 050419159 2021-06-07 RHODE ISLAND HAND CENTER 6
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4017442415
Plan sponsor’s address JILL HUBBARD, 88, JAMESTOWN, RI, 02835

Plan administrator’s name and address

Plan administrator’s name JILL HUBBARD
Plan administrator’s address 88 COLUMBIA AVENUE, JAMESTOWN, RI, 02835
Administrator’s telephone number 4012755653

Signature of

Role Plan administrator
Date 2021-06-07
Name of individual signing JILL HUBBARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEONARD F. HUBBARD, MD Agent 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
LEONARD F HUBBARD MD PRESIDENT 1150 RESERVOIR AVE CRANSTON, RI 02920 USA

OTHER OFFICER

Name Role Address
LEONARD HUBBARD OTHER OFFICER 88 COLUMBIA AVENUE JAMESTOWN, RI 02835 UNI

Events

Type Date Old Value New Value
Name Change 1992-07-02 LEONARD F. HUBBARD, M.D., INCORPORATED Rhode Island Hand Center, P.C.

Filings

Number Name File Date
202446583680 Annual Report 2024-02-16
202326686810 Annual Report 2023-01-26
202209175020 Annual Report 2022-02-02
202185812520 Annual Report 2021-01-11
201930249240 Annual Report 2019-12-16
201922730000 Annual Report 2019-10-04
201906968270 Revocation Notice For Failure to File An Annual Report 2019-07-24
201856059280 Annual Report 2018-02-03
201729897870 Annual Report 2017-01-11
201602173770 Annual Report 2016-07-18

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State