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  5. Garden City Treatment Center, Inc.

Garden City Treatment Center, Inc.

Company Details

Name: Garden City Treatment Center, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Aug 1986 (39 years ago)
Identification Number: 000039592
ZIP code: 02920
County: Providence County
Principal Address: 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA
Purpose: TO PROVIDE EMERGENCY ROOM MEDICAL SERVICES
NAICS: 621493 - Freestanding Ambulatory Surgical and Emergency Centers
Historical names: Garden City Treatment Center, Inc.
Cranston Garden City Emergicenter, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639273865 2006-09-08 2020-08-22 1150 RESERVOIR AVE, #100, CRANSTON, RI, 029206068, US 1150 RESERVOIR AVE, #100, CRANSTON, RI, 029206068, US

Contacts
Phone +1 401-946-2400
Fax 4019465862

Authorized person
Name DR. WILLAIM T CREIGHTON
Role STAFF PHYSICIAN
Phone 4019462400

Taxonomy
Taxonomy Code 146M00000X - Intermediate Emergency Medical Technician
License Number MD06288
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2023 050423525 2024-07-23 GARDEN CITY TREATMENT CENTER, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE SUITE 100, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing TARA CAVANAGH
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2022 050423525 2023-09-12 GARDEN CITY TREATMENT CENTER, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2023-09-12
Name of individual signing TARA CAVANAGH
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2021 050423525 2022-05-09 GARDEN CITY TREATMENT CENTER, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4014999817
Plan sponsor’s address 1150 RESERVOIR AVENUE SUITE 100, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2022-05-09
Name of individual signing TARA CAVANAGH
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2020 050423525 2021-05-19 GARDEN CITY TREATMENT CENTER, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing TARA CAVANAGH
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2019 050423525 2020-06-23 GARDEN CITY TREATMENT CENTER, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing TARA CAVANAGH
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2018 050423525 2019-05-07 GARDEN CITY TREATMENT CENTER, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2019-05-07
Name of individual signing TARA CAVANAGH
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2017 050423525 2018-05-23 GARDEN CITY TREATMENT CENTER, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2018-05-23
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2016 050423525 2017-07-18 GARDEN CITY TREATMENT CENTER, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2015 050423525 2016-09-28 GARDEN CITY TREATMENT CENTER, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY TREATMENT CENTER, INC. PROFIT SHARING PLAN AND TRUST 2014 050423525 2015-09-08 GARDEN CITY TREATMENT CENTER, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/12/20140812202937P040086068929001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2014-08-12
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/22/20130822091119P040133713733001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/09/20121009080911P040000790054001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 050423525
Plan administrator’s name GARDEN CITY TREATMENT CENTER, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920
Administrator’s telephone number 4019462400

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017121350P040695744128001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621498
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVE., CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 050423525
Plan administrator’s name GARDEN CITY TREATMENT CENTER, INC.
Plan administrator’s address 1150 RESERVOIR AVE., CRANSTON, RI, 02920
Administrator’s telephone number 4019462400

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ADIB MECHREFE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621498
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVE., CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 050423525
Plan administrator’s name GARDEN CITY TREATMENT CENTER, INC.
Plan administrator’s address 1150 RESERVOIR AVE., CRANSTON, RI, 02920
Administrator’s telephone number 4019462400

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ADIB MECHREFE
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/28/20100928122347P040015623297001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621498
Sponsor’s telephone number 4019462400
Plan sponsor’s address 1150 RESERVOIR AVE., CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 050423525
Plan administrator’s name GARDEN CITY TREATMENT CENTER, INC.
Plan administrator’s address 1150 RESERVOIR AVE., CRANSTON, RI, 02920
Administrator’s telephone number 4019462400

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing ADIB MECHREFE, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JASON P. MARSHALL Agent 300 CENTERVILLE RD. SUITE 204W, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
MARY T. MECHREFE PRESIDENT 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA

TREASURER

Name Role Address
TARA MECHREFE CAVANAGH TREASURER 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA

SECRETARY

Name Role Address
TANYA MECHREFE GAUDIOSO SECRETARY 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA

DIRECTOR

Name Role Address
MARY T. MECHREFE DIRECTOR 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA
ANTHONY P. MECHREFE M.D. DIRECTOR 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA
TANYA MECHREFE GAUDIOSO DIRECTOR 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA
TARA MECHREFE CAVANAGH DIRECTOR 1150 RESERVOIR AVENUE CRANSTON, RI 02920 USA

Events

Type Date Old Value New Value
Name Change 1990-02-14 Cranston Garden City Emergicenter, Inc. Garden City Treatment Center, Inc.
Name Change 1987-04-14 Garden City Treatment Center, Inc. Cranston Garden City Emergicenter, Inc.

Filings

Number Name File Date
202453581280 Annual Report 2024-05-01
202343444110 Statement of Change of Registered/Resident Agent 2023-12-19
202329434760 Annual Report 2023-02-27
202214538430 Annual Report 2022-04-12
202195043480 Annual Report 2021-03-29
202033718820 Annual Report 2020-02-04
201929624140 Statement of Change of Registered/Resident Agent Office 2019-12-09
201988880800 Annual Report 2019-03-18
201861079640 Annual Report 2018-03-28
201737593960 Annual Report 2017-03-07

Related by officers

JASON P. MARSHALL

TOURTELLOT & CO., INC. J. B. SIMON, INC. Alley Katz, Inc. CARA, INCORPORATED The Tomorrow Fund Suite 204 Associates, L.P. Suite 205 Associates, L.P. SPARTINA, LLC Suite 203 Associates, L.P. The Loon Limited Partnership

Related by address

1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA

JOHN A. PELLA, M.D., LTD. INTERNAL MEDICINE ASSOCIATES, INC. Rhode Island Hand Center, P.C. Associated Diagnostic, Inc. G.I. MED, L.L.C. G.I. MED OF NARRAGANSETT, L.L.C. James R. Bonner, M.D., Inc. SUITE 303 ASSOCIATES, LLC GARDEN CITY REHABILITATION CENTER, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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