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MICHAEL J. HAYDEN, D.O., INC.

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Company Details

Name: MICHAEL J. HAYDEN, D.O., INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 26 Nov 1991 (34 years ago)
Date of Dissolution: 30 Dec 2020 (5 years ago)
Date of Status Change: 30 Dec 2020 (5 years ago)
Identification Number: 000066137
ZIP code: 02921
City: Cranston
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE AND IN ANY ACTIVITIES RELATED THERE TO
Principal Address: Google Maps Logo 712 OAKLAWN AVENUE SUITE 5, CRANSTON, RI, 02921, 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
MICHAEL J. HAYDEN Agent 167 BARNDOOR LANE, CRANSTON, RI, 02921, USA

PRESIDENT

Name Role Address
MICHAEL J HAYDEN PRESIDENT 167 BARNDOOR LANE CRANSTON, RI 02921 UNI
MICHAEL J HAYDEN DO PRESIDENT 712 OAKLAWN AVE CRANSTON, RI 02920 USA

National Provider Identifier

NPI Number:
1952519340

Authorized Person:

Name:
DR. MICHAEL JOSEPH HAYDEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
050462482
Plan Year:
2021
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHAEL J HAYDEN DO(Plan administrator)
Plan Year:
2021
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHAEL JOSEPH HAYDEN(Plan administrator)
Plan Year:
2020
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHAEL J HAYDEN(Plan administrator)
Plan Year:
2019
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHAEL JOSEPH HAYDEN(Plan administrator)
Plan Year:
2018
Number Of Participants:
11
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHAEL J. HAYDEN(Plan administrator)

Filings

Number Name File Date
202082826710 Revocation Certificate For Failure to File the Annual Report for the Year 2020-12-30
202054975910 Revocation Notice For Failure to File An Annual Report 2020-09-16
201983711190 Annual Report 2019-01-04
201855574450 Annual Report 2018-01-03
201729470820 Annual Report 2017-01-04

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2016-05-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
$0
Face Value Of Loan:
$80,000
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2016-05-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
$0
Face Value Of Loan:
$80,000
Total Face Value Of Loan:
$80,000

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Date of last update: 08 Jul 2025

Sources: Rhode Island Department of State