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Children First Pediatrics, Inc.

Company Details

Name: Children First Pediatrics, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 13 Aug 1998 (26 years ago)
Identification Number: 000102043
ZIP code: 02865
County: Providence County
Principal Address: 6 BLACKSTONE VALLEY PLACE BUILDING 700, LINCOLN, RI, 02865, USA
Purpose: PROVIDING MEDICAL SERVICES TO THE GENERAL PUBLIC.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639141310 2006-02-06 2019-12-09 6 BLACKSTONE VALLEY PL STE 500, LINCOLN, RI, 028651102, US 6 BLACKSTONE VALLEY PL STE 500, LINCOLN, RI, 028651102, US

Contacts

Phone +1 401-334-1200
Fax 4013341111

Authorized person

Name ROXANNE SIMMONS
Role OWNER
Phone 4013341200

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2023 043428367 2024-08-14 CHILDREN FIRST PEDIATRICS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2022 043428367 2023-09-13 CHILDREN FIRST PEDIATRICS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2021 043428367 2022-10-07 CHILDREN FIRST PEDIATRICS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2020 043428367 2021-10-06 CHILDREN FIRST PEDIATRICS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2019 043428367 2020-09-16 CHILDREN FIRST PEDIATRICS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2018 043428367 2019-05-24 CHILDREN FIRST PEDIATRICS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2017 043428367 2018-04-10 CHILDREN FIRST PEDIATRICS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2016 043428367 2017-04-13 CHILDREN FIRST PEDIATRICS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, LINCOLN, RI, 02865
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2015 043428367 2016-08-17 CHILDREN FIRST PEDIATRICS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586
CHILDREN FIRST PEDIATRICS, INC. 401(K) PLAN 2014 043428367 2015-05-12 CHILDREN FIRST PEDIATRICS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586

Signature of

Role Plan administrator
Date 2015-05-12
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/30/20140530065017P040417673329001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586

Signature of

Role Plan administrator
Date 2014-05-30
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/04/20130404094924P040159491155001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586

Signature of

Role Plan administrator
Date 2013-04-04
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/31/20120531123727P040082312592001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586

Signature of

Role Plan administrator
Date 2012-05-31
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/31/20110831120740P030038962679001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586

Signature of

Role Plan administrator
Date 2011-08-31
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/30/20100730104456P040015706997001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4013348586
Plan sponsor’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 043428367
Plan administrator’s name CHILDREN FIRST PEDIATRICS, INC.
Plan administrator’s address 6 BLACKSTONE VALLEY PLACE, STE 702, LINCOLN, RI, 02865
Administrator’s telephone number 4013348586

Signature of

Role Plan administrator
Date 2010-07-30
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing ROXANNE SIMMONS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEBORAH DINARDO, ESQ. Agent PIERCE ATWOOD LLP ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
ROXANNE SIMMONS MD PRESIDENT 6 BLACKSTONE VALLEY PLACE, BUILDING 700 LINCOLN, RI 02865 USA

Filings

Number Name File Date
202452665800 Annual Report 2024-04-26
202328275670 Statement of Change of Registered/Resident Agent Office 2023-02-13
202326459270 Annual Report 2023-01-25
202222615860 Statement of Change of Registered/Resident Agent 2022-09-01
202209957130 Annual Report 2022-02-08
202190668660 Annual Report 2021-02-10
202190666080 Statement of Change of Registered/Resident Agent 2021-02-10
202189927130 Revocation Notice For Failure to Maintain a Registered Office 2021-02-04
202189353100 Registered Office Not Maintained 2021-01-15
202032970940 Annual Report 2020-01-22

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State