| 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)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
| 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 |
|---|---|---|
| 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 |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, 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: 09 Apr 2025
Sources: Rhode Island Department of State
