| Name: | Warren Family Practice Associates, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 28 Jul 1994 (31 years ago) |
| Date of Dissolution: | 07 Mar 2019 (6 years ago) |
| Date of Status Change: | 07 Mar 2019 (6 years ago) |
| Identification Number: | 000080648 |
| ZIP code: | 02885 |
| County: | Bristol County |
| Principal Address: | 851 MAIN STREET, WARREN, RI, 02885, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF MEDICINE. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427198175 | 2007-02-08 | 2008-06-20 | 5810 NANCY RIDGE DR, SUITE 100, SAN DIEGO, CA, 921212834, US | 851 MAIN ST, WARREN, RI, 028854384, US | |||||||||||||||||
|
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| Phone | +1 401-247-1000 |
Authorized person
| Name | MR. KENNY HEINE |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 8586252990 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | DO00373 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MELYSSA PAIGE LEIBOWITZ | TREASURER | C/O 851 MAIN STREET WARREN, RI 02885 USA |
| Name | Role | Address |
|---|---|---|
| JOSHUA SEAN LEIBOWITZ | SECRETARY | C/O 851 MAIN STREET WARREN, RI 02885 USA |
| Name | Role | Address |
|---|---|---|
| DAVID LEIBOWITZ DO | PRESIDENT | 8 TALL PINES ROAD BARRINGTON, RI 02806 USA |
| Name | Role | Address |
|---|---|---|
| PEGGY ANN LEIBOWITZ | VICE PRESIDENT | C/O 851 MAIN STREET WARREN, RI 02885 USA |
| Name | Role | Address |
|---|---|---|
| DAVID LEIBOWITZ DO | DIRECTOR | 8 TALL PINES ROAD BARRINGTON, RI 02806 USA |
| Number | Name | File Date |
|---|---|---|
| 201988294300 | Articles of Dissolution | 2019-03-07 |
| 201882976320 | Annual Report | 2018-12-20 |
| 201859848160 | Annual Report | 2018-03-07 |
| 201739058430 | Annual Report | 2017-03-28 |
| 201695368310 | Annual Report | 2016-03-29 |
| 201695368220 | Statement of Change of Registered/Resident Agent Office | 2016-03-29 |
| 201554215230 | Annual Report | 2015-01-27 |
| 201437283530 | Annual Report | 2014-03-19 |
| 201314296990 | Annual Report | 2013-03-22 |
| 201291481990 | Annual Report | 2012-03-28 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
