| Name: | CHILDREN'S HEALTHCARE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 May 1999 (26 years ago) |
| Identification Number: | 000106543 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 845 NORTH MAIN STREET SUITE 7, PROVIDENCE, RI, 02904, USA |
| Purpose: | TO RENDER PROFESSIONAL SERVICES BY PERSONS AUTHORIZED TO PRACTICE MEDICINE IN THE STATE OF RHODE ISLAND. |
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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447382346 | 2007-03-09 | 2011-12-16 | 845 N MAIN ST, SUITE 7, PROVIDENCE, RI, 029045700, US | 845 N MAIN ST, SUITE 7, PROVIDENCE, RI, 029045700, US | |||||||||||||||||||||||||
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| Phone | +1 401-383-6776 |
| Fax | 4013837213 |
Authorized person
| Name | DR. KELVIN D GILLMAN |
| Role | PRESIDENT |
| Phone | 4013836776 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 8918 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | KG49644 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| RICHARD A. BOGUE, ESQ. | Agent | 55 PINE STREET 5TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| KELVIN D GILLMAN | PRESIDENT | 15 MILES AVENUE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| KELVIN D GILLMAN | TREASURER | 15 MILES AVENUE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| KELVIN D GILLMAN | SECRETARY | 15 MILES AVENUE PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 202455103840 | Annual Report | 2024-05-31 |
| 202334527310 | Annual Report | 2023-04-28 |
| 202217943240 | Annual Report | 2022-05-29 |
| 202188153350 | Annual Report | 2021-01-28 |
| 202033659240 | Annual Report | 2020-02-04 |
| 201989449790 | Annual Report | 2019-03-28 |
| 201861230050 | Annual Report | 2018-03-29 |
| 201857723540 | Statement of Change of Registered/Resident Agent Office | 2018-02-06 |
| 201730458130 | Annual Report | 2017-01-19 |
| 201694156530 | Annual Report | 2016-03-11 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
