Name: | Wellcare, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 01 Sep 1998 (26 years ago) |
Identification Number: | 000102376 |
ZIP code: | 02919 |
County: | Providence County |
Principal Address: | 1524 ATWOOD AVENUE SUITE 434, JOHNSTON, RI, 02919, USA |
Purpose: | TO PROVIDE WELLNESS SERVICES CONSISTING OF GYNECOLOGICAL SERVICES FOR WOMEN AND DERMATOLOGY SERVICES. |
NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235182783 | 2006-05-18 | 2020-08-22 | 1524 ATWOOD AVE, SUITE 243, JOHNSTON, RI, 029193228, US | 1524 ATWOOD AVE, SUITE 243, JOHNSTON, RI, 029193228, US | |||||||||||||||||||||||||
|
Phone | +1 401-272-8773 |
Fax | 4012728770 |
Authorized person
Name | MRS. CLAIRE AMANDA NADEAU |
Role | PRESIDENT |
Phone | 4012728773 |
Taxonomy
Taxonomy Code | 363LW0102X - Women's Health Nurse Practitioner |
License Number | NPP184 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | WC44529 |
State | RI |
Name | Role | Address |
---|---|---|
PAUL A. WARD, JR. ESQ. | Agent | 1130 TEN ROD ROAD SUITE D 302, NORTH KINGSTOWN, RI, 02852, USA |
Name | Role | Address |
---|---|---|
CLAIRE A. NADEAU | PRESIDENT | 94 CREST FIELD LANE NORTH KINGSTOWN, RI 02852 USA |
Number | Name | File Date |
---|---|---|
202448154220 | Annual Report | 2024-03-10 |
202326818310 | Annual Report | 2023-01-28 |
202211061030 | Annual Report | 2022-02-16 |
202193242100 | Annual Report | 2021-02-28 |
202036365300 | Annual Report | 2020-03-15 |
201987880810 | Annual Report | 2019-02-28 |
201860152470 | Annual Report | 2018-03-14 |
201737354750 | Annual Report | 2017-03-05 |
201692745060 | Annual Report | 2016-02-20 |
201556000690 | Annual Report | 2015-03-01 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State