| Name: | Leah F. Adams, M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Oct 1998 (26 years ago) |
| Date of Dissolution: | 29 Jul 2021 (4 years ago) |
| Date of Status Change: | 29 Jul 2021 (4 years ago) |
| Identification Number: | 000103185 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 400 WARREN AVENUE SUITE 2L, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | TO PROVIDE MEDICAL SERVICES. |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174770812 | 2008-08-25 | 2020-12-16 | 2 PHENIX RIDGE DR, CRANSTON, RI, 029211522, US | 2 PHENIX RIDGE DR, CRANSTON, RI, 029211522, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-441-7665 |
| Fax | 4013834698 |
Authorized person
| Name | LEAH F. ADAMS |
| Role | PRESIDENT |
| Phone | 4014417665 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD09931 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAMMY A. BOTTELLA | Agent | 255 QUAKER LANE SUITE 600, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| LEAH F ADAMS MD | PRESIDENT | 400 WARREN AVENUE, STE 2L EAST PROVIDENCE, RI 02914 USA |
| Number | Name | File Date |
|---|---|---|
| 202199643730 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196788920 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202037485980 | Annual Report | 2020-04-13 |
| 201988147020 | Annual Report | 2019-03-04 |
| 201859395150 | Annual Report | 2018-02-28 |
| 201737277220 | Annual Report | 2017-02-24 |
| 201693536450 | Annual Report | 2016-03-01 |
| 201557869980 | Annual Report | 2015-03-20 |
| 201437875320 | Annual Report | 2014-03-28 |
| 201314262300 | Annual Report | 2013-03-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9374867708 | 2020-05-01 | 0165 | PPP | 400 Warren Ave Ste 2L, E Providence, RI, 02914 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
