Name: | Claflin Continuing Care, LLC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 10 Feb 1995 (30 years ago) |
Date of Dissolution: | 19 Aug 2008 (16 years ago) |
Date of Status Change: | 19 Aug 2008 (16 years ago) |
Identification Number: | 000083025 |
ZIP code: | 02915 |
County: | Providence County |
Principal Address: | 1070 WILLETT AVENUE, EAST PROVIDENCE, RI, 02915, USA |
Mailing Address: | 1070 WILLETT AVENUE, EAST PROVIDENCE, RI, 02915-, USA |
Purpose: | SALE & DISTRIBUTION OF DURABLE MEDICAL EQUIPMENT |
Historical names: |
Claflin Continuing Care, LLC Continuing Care Network, LLC. |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598767766 | 2005-06-01 | 2020-08-22 | 1070 WILLETT AVE, RIVERSIDE, RI, 029152037, US | 1070 WILLETT AVE, RIVERSIDE, RI, 029152037, US | |||||||||||||||||||||||||||
|
Phone | +1 401-437-0806 |
Authorized person
Name | MR. SCOTT M CROWLEY |
Role | PRESIDENT/CEO |
Phone | 4014370806 |
Taxonomy
Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1540483 |
State | MA |
Issuer | MEDICAID |
Number | 9009575 |
State | RI |
Name | Role | Address |
---|---|---|
JAMES R. MCGUIRK, ESQ. | Agent | EDWARDS ANGELL PALMER & DODGE LLP 2800 FINANCIAL PLAZA, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
EDWARD ALMON | MANAGER | 170 WILLETT AVENUE EAST PROVIDENCE, RI 02904 USA |
Type | Date | Old Value | New Value |
---|---|---|---|
Name Change | 1997-06-16 | Continuing Care Network, LLC. | Claflin Continuing Care, LLC. |
Name Change | 1996-05-20 | Claflin Continuing Care, LLC | Continuing Care Network, LLC. |
Number | Name | File Date |
---|---|---|
200833736750 | Revocation Certificate For Failure to File the Annual Report for the Year | 2008-08-19 |
200810237120 | Revocation Notice For Failure to File An Annual Report | 2008-05-06 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State