| 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) |
| 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: 08 Oct 2024
Sources: Rhode Island Department of State
