| Name: | VNA Technicare, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Jul 1993 (32 years ago) |
| Identification Number: | 000073140 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 622 GEORGE WASHINGTON HIGHWAY, LINCOLN, RI, 02865, USA |
| Purpose: | SALE, LEASE AND OTHERWISE DEALING WITH DURABLE MEDICAL EQUIPMENT AND MEDICAL SUPPLIES |
| Fictitious names: |
Brown University Health Home Medical (trading name, 2024-08-15 - ) Lifespan Home Medical (trading name, 2003-09-05 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396744173 | 2005-07-14 | 2024-09-19 | 225 CAROLINA AVE, PROVIDENCE, RI, 029054505, US | 200 CORLISS ST UNIT 2, PROVIDENCE, RI, 029042602, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 401-335-9000 |
| Fax | 4013359078 |
Authorized person
| Name | MR. PETER K MARKELL |
| Role | EVP & CFO |
| Phone | 4014447093 |
Taxonomy
| Taxonomy Code | 332100000X - Department of Veterans Affairs (VA) Pharmacy |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3960001 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| PAUL J. ADLER | Agent | 200 CORLISS STREET, PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| NICHOLAS DOMINICK JR | PRESIDENT | 593 EDDY STREET PROVIDENCE, RI 02903 USA |
| Number | Name | File Date |
|---|---|---|
| 202458853760 | Fictitious Business Name Statement | 2024-08-15 |
| 202450448360 | Statement of Change of Registered/Resident Agent Office | 2024-04-08 |
| 202449100460 | Annual Report | 2024-03-14 |
| 202332362210 | Annual Report | 2023-04-05 |
| 202213604820 | Annual Report | 2022-03-21 |
| 202193273410 | Annual Report | 2021-02-26 |
| 202035070890 | Annual Report | 2020-02-21 |
| 201989478600 | Annual Report | 2019-03-29 |
| 201984709970 | Statement of Change of Registered/Resident Agent Office | 2019-01-18 |
| 201864716920 | Annual Report | 2018-05-11 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
