| Name: | SURGI-CARE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Jan 1993 (32 years ago) |
| Identification Number: | 000048218 |
| Place of Formation: | MASSACHUSETTS |
| Principal Address: | 3 FEDERAL STREET STE 110, BILLERICA, MA, 01821, USA |
| Purpose: | RETAILER OF DURABLE MEDICAL EQUIPMENT: PROSTHETICS ORTHOTICS AND SOF GOODS (DME POS) |
| Fictitious names: |
Surgi-Care of Massachusetts (trading name, 1993-01-08 - ) |
NAICS
423450 Medical, Dental, and Hospital Equipment and Supplies Merchant WholesalersThis industry comprises establishments primarily engaged in the merchant wholesale distribution of professional medical equipment, instruments, and supplies (except ophthalmic equipment and instruments and goods used by ophthalmologists, optometrists, and opticians). Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235398041 | 2008-06-06 | 2022-10-24 | 300 CENTERVILLE RD, SUITE 102S SUMMIT SOUTH, WARWICK, RI, 028860200, US | 300 CENTERVILLE RD, SUITE 102S SUMMIT SOUTH, WARWICK, RI, 028860200, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-732-3224 |
| Fax | 4017325142 |
Authorized person
| Name | DARCY ANN DILIDDO |
| Role | DIRECTOR |
| Phone | 7812901807 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | SC70174 |
| State | RI |
| Issuer | BCBS OF RI |
| Number | 1235398041 |
| State | RI |
| Issuer | MEDICAID |
| Number | 2546900 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BRADLEY JOE TANDY | SECRETARY | 3 FEDERAL ST, STE 110 BILLERICA, MA 01821 USA |
| Name | Role | Address |
|---|---|---|
| PHILLIP BENJAMIN BERRY | CFO | 2900 LAKE VISTA DRIVE, SUITE 200 LEWISVILLE, TX 75067 USA |
| Name | Role | Address |
|---|---|---|
| BRADLEY JOE TANDY | VICE PRESIDENT | 3 FEDERAL ST, STE 110 BILLERICA, MA 01821 USA |
| KIMBERLY TYRRELL-KNOTT | VICE PRESIDENT | 3 FEDERAL ST, STE 110 BILLERICA, MA 01821 USA |
| PHILLIP BENJAMIN BERRY | VICE PRESIDENT | 2900 LAKE VISTA DRIVE, SUITE 200 LEWISVILLE, TX 75067 USA |
| ANDRES MORENO III | VICE PRESIDENT | 3 FEDERAL ST, STE 110 BILLERICA, MA 01821 USA |
| Name | Role | Address |
|---|---|---|
| BRADLEY JOE TANDY | DIRECTOR | 3 FEDERAL ST, STE 110 BILLERICA, MA 01821 USA |
| PHILLIP BENJAMIN BERRY | DIRECTOR | 2900 LAKE VISTA DRIVE, SUITE 200 LEWISVILLE, TX 75067 USA |
| ANDRES MORENO III | DIRECTOR | 3 FEDERAL ST, STE 110 BILLERICA, MA 01821 USA |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202451007340 | Annual Report | 2024-04-13 |
| 202340520240 | Annual Report - Amended | 2023-08-23 |
| 202331684610 | Annual Report | 2023-03-25 |
| 202215306470 | Annual Report | 2022-04-20 |
| 202192042530 | Annual Report | 2021-02-19 |
| 202032586330 | Annual Report | 2020-01-18 |
| 201917665490 | Annual Report | 2019-09-05 |
| 201906974370 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201859357860 | Annual Report | 2018-02-28 |
| 201734601280 | Annual Report | 2017-02-23 |
Date of last update: 07 Apr 2025
Sources: Rhode Island Department of State
