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Apple Valley Family Treatment Center, Inc.

Company Details

Name: Apple Valley Family Treatment Center, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 11 Apr 1988 (37 years ago)
Date of Dissolution: 21 Jun 2018 (7 years ago)
Date of Status Change: 21 Jun 2018 (7 years ago)
Identification Number: 000046576
ZIP code: 02828
County: Providence County
Purpose: MEDICAL SERVICES- FAMILY PRACTICE AND AMBULATORY SERVICES
Principal Address: Google Maps Logo 466 PUTNAM PIKE, GREENVILLE, RI, 02828, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
SUSAN B. FANNING Agent 34 SASSAFRAS ROAD, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
SUSAN B. FANNING PRESIDENT 34 SASSAFRAS ROAD NORTH KINGSTOWN, RI 02852 USA

National Provider Identifier

NPI Number:
1043266232

Authorized Person:

Name:
STEPHEN A FANNING
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4019494140

Form 5500 Series

Employer Identification Number (EIN):
050437434
Plan Year:
2014
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Number Name File Date
201870176680 Articles of Dissolution 2018-06-21
201870176220 Annual Report 2018-06-21
201870176590 Annual Report 2018-06-21
201870175700 Reinstatement 2018-06-21
201752749050 Revocation Certificate For Failure to File the Annual Report for the Year 2017-11-02

Date of last update: 18 May 2025

Sources: Rhode Island Department of State