| Name: | LIFESPAN CORPORATION |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 04 Aug 1986 (38 years ago) |
| Identification Number: | 000039621 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 167 POINT STREET, PROVIDENCE, RI, 02903, USA |
| Purpose: | TO PROVIDE HIGH QUALITY HEALTH SERVICES THROUGH ITS SUBSIDIARIES AND AFFILIATES, BIOMEDICAL, RESEARCH |
| NAICS: | 622110 - General Medical and Surgical Hospitals |
| Fictitious names: |
Brown University Health (trading name, 2024-08-15 - ) RIAMC (trading name, 2001-05-30 - ) Rhode Island Academic Medicine Coalition (trading name, 2001-05-30 - ) |
| Historical names: |
The Miriam Corporation |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912763608 | 2024-02-21 | 2024-03-13 | 1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI, 029155061, US | 1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI, 029155061, US | |||||||||||||
|
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| Phone | +1 401-432-1000 |
Authorized person
| Name | MISS ROSALINA MONTEIRO VIEIRA |
| Role | LICENSED CLINICAL SOCIAL WORKER |
| Phone | 4012157040 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFESPAN CORPORATION 401(K) RETIREMENT PLAN | 2009 | 222861978 | 2010-10-14 | LIFESPAN CORPORATION | 117 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 222861978 |
| Plan administrator’s name | LIFESPAN CORPORATION |
| Plan administrator’s address | 167 POINT STREET, SUITE 2C, RM 246, PROVIDENCE, RI, 02903 |
| Administrator’s telephone number | 4014444563 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | CAROL LIPMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PAUL J. ADLER | Agent | 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| JOHN FERNANDEZ | PRESIDENT | 167 POINT STREET PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| LAWRENCE AUBIN SR | DIRECTOR | AUBIN CORPORATION 1460 FALL RIVER AVENUE SEEKONK, MA 02771 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1994-08-09 | The Miriam Corporation | LIFESPAN CORPORATION |
| Number | Name | File Date |
|---|---|---|
| 202458851180 | Fictitious Business Name Statement | 2024-08-15 |
| 202449066270 | Annual Report | 2024-03-14 |
| 202332406220 | Annual Report | 2023-04-05 |
| 202213378280 | Annual Report | 2022-03-21 |
| 202199409570 | Annual Report | 2021-07-16 |
| 202042560030 | Annual Report | 2020-06-19 |
| 201910110410 | Annual Report | 2019-08-05 |
| 201984627670 | Statement of Change of Registered/Resident Agent Office | 2019-01-17 |
| 201876272160 | Annual Report | 2018-08-30 |
| 201748018630 | Annual Report | 2017-07-27 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
