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NNA of Rhode Island, Inc.

Company Details

Name: NNA of Rhode Island, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 06 Oct 2000 (24 years ago)
Identification Number: 000114791
Principal Address: 920 WINTER ST, WALTHAM, MA, 02451, USA
Purpose: DIALYSIS SERVICES
NAICS: 621492 - Kidney Dialysis Centers
Fictitious names: NNA OF PROVIDENCE (trading name, 2002-01-22 - )
NNA OF ATWOOD (trading name, 2002-01-22 - )
NNA OF PAWTUCKET (trading name, 2002-01-22 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215946272 2006-08-07 2023-10-16 79 DIVISION ST, PAWTUCKET, RI, 028605327, US 79 DIVISION ST, PAWTUCKET, RI, 028605327, US

Contacts

Phone +1 401-723-9995
Fax 4017236344

Authorized person

Name BARRY L. BLANTON
Role VICE PRESIDENT
Phone 7816999000

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Central Index Key

CIK number Mailing Address Business Address Phone
1287506 2525 WEST END AVENUE, SUITE 600, NASHVILLE, TN, 37203 No data No data

Filings since 2004-04-20

Form type S-4/A
File number 333-114607-23
Filing date 2004-04-20
File View File

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
CRAIG CORDOLA PRESIDENT 920 WINTER ST WALTHAM, MA 02451 USA

SECRETARY

Name Role Address
KAREN GLEDHILL SECRETARY 920 WINTER ST WALTHAM, MA 02451 USA

CFO

Name Role Address
DENNIS BRAUN CFO 920 WINTER ST WALTHAM, MA 02451 USA

ASSISTANT SECRETARY

Name Role Address
DOMENIC GAETA ASSISTANT SECRETARY 920 WINTER ST WALTHAM, MA 02451 USA
JULIE HAWKINS ASSISTANT SECRETARY 920 WINTER ST WALTHAM, MA 02451 USA

VICE PRESIDENT

Name Role Address
RYAN VALLE VICE PRESIDENT 920 WINTER ST WALTHAM, MA 02451 USA

ASSISTANT TREASURER

Name Role Address
BRYAN MELLO ASSISTANT TREASURER 920 WINTER ST WALTHAM, MA 02451 USA
MOLLIE MILLER ASSISTANT TREASURER 920 WINTER ST WALTHAM, MA 02451 USA
DOROTHY RIZZO ASSISTANT TREASURER 920 WINTER ST WALTHAM, MA 02451 USA

SENIOR VICE PRESIDENT

Name Role Address
KAREN GLEDHILL SENIOR VICE PRESIDENT 920 WINTER ST WALTHAM, MA 02451 USA

DIRECTOR

Name Role Address
CRAIG CORDOLA DIRECTOR 920 WINTER ST WALTHAM, MA 02451 USA

Filings

Number Name File Date
202450396760 Annual Report 2024-04-08
202331336500 Annual Report 2023-03-22
202215935760 Annual Report 2022-04-27
202193169010 Annual Report 2021-02-26
202035504610 Annual Report 2020-02-28
201987289550 Annual Report 2019-02-22
201858081090 Annual Report 2018-02-12
201734895490 Annual Report 2017-02-27
201692835310 Annual Report 2016-02-22
201555733210 Annual Report 2015-02-25

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State