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Everest Healthcare Rhode Island, Inc.

Company Details

Name: Everest Healthcare Rhode Island, Inc.
Jurisdiction: Rhode Island
Entity type: Foreign Corporation
Status: Activ
Date of Organization in Rhode Island: 08 Dec 2000 (24 years ago)
Identification Number: 000115704
Place of Formation: DELAWARE
Principal Address: 920 WINTER ST., WALTHAM, MA, 02451, USA
Purpose: DIALYSIS SERVICES

Industry & Business Activity

NAICS

621492 Kidney Dialysis Centers

This U.S. industry comprises establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services. Learn more at the U.S. Census Bureau

Companies doing Kidney dialysis centers

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639188345 2006-08-05 2023-10-14 2814 POST RD, WARWICK, RI, 028863169, US 2814 POST RD, WARWICK, RI, 028863169, US

Contacts
Phone +1 401-738-4050
Fax 4017387298

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

Other Provider Identifiers
Issuer MEDICAID
Number 4125010
State RI

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

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
CHRISTOPH IMMICK ASSISTANT SECRETARY 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
CHRISTINE SMITH ASSISTANT TREASURER 920 WINTER ST. WALTHAM, MA 02451 USA
JOSEPH RANDOR ASSISTANT TREASURER 920 WINTER ST. WALTHAM, MA 02451 USA

DIRECTOR

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

TREASURER

Name Role Address
THOMAS BROUILLARD TREASURER 920 WINTER ST. WALTHAM, MA 02451 USA

SECRETARY

Name Role Address
PATRICIA RICH SECRETARY 920 WINTER ST. WALTHAM, MA 02451 USA

SENIOR VICE PRESIDENT

Name Role Address
PATRICIA RICH SENIOR VICE PRESIDENT 920 WINTER ST. WALTHAM, MA 02451 USA

VICE PRESIDENT

Name Role Address
ERIK LYESIUK VICE PRESIDENT 920 WINTER ST. WALTHAM, MA 02451 USA
CHRISTOPH IMMICK VICE PRESIDENT 920 WINTER ST. WALTHAM, MA 02451 USA
CHRISTINE SMITH VICE PRESIDENT 920 WINTER ST. WALTHAM, MA 02451 USA
JOSEPH RANDOR VICE PRESIDENT 920 WINTER ST. WALTHAM, MA 02451 USA

CHIEF FINANCIAL OFFICER

Name Role Address
THOMAS BROUILLARD CHIEF FINANCIAL OFFICER 920 WINTER ST. WALTHAM, MA 02451 USA

Filings

Number Name File Date
202451030410 Annual Report 2024-04-15
202331911590 Annual Report 2023-03-28
202215881580 Annual Report 2022-04-27
202193167980 Annual Report 2021-02-26
202035491910 Annual Report 2020-02-28
201987285020 Annual Report 2019-02-22
201858077020 Annual Report 2018-02-12
201734892660 Annual Report 2017-02-27
201692834070 Annual Report 2016-02-22
201555733850 Annual Report 2015-02-25

Related by officers

CT CORPORATION SYSTEM

Mason Industries of R.I., Inc. ABANCO Management Corp. HEALTHCARE TRANSPORTATION SYSTEM, INC. W.C. Stumbo Company HUDSON MEDICAL PRODUCTS, INC. ACORN INSULATED WIRE COMPANY, INC. ADAMS DRUG CO. OF BROAD STREET, INC. ADAMS DRUG CO. OF EDGEWOOD, INC. ADAMS DRUG CO. OF SMITHFIELD, INC. ADAMS DRUG CO. OF TIVERTON, INC.

CRAIG CORDOLA

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. Bio-Medical Applications of Rhode Island, Inc. Fresenius USA Manufacturing, Inc. National Medical Care, Inc.

DOMENIC GAETA

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. Bio-Medical Applications of Rhode Island, Inc. Fresenius USA Manufacturing, Inc. National Medical Care, Inc.

JULIE HAWKINS

NNA of Rhode Island, Inc. Bio-Medical Applications of Rhode Island, Inc. National Medical Care, Inc.

BRYAN MELLO

Bio-Medical Applications of Rhode Island, Inc. Bio-Medical Applications of Woonsocket, Inc. Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. AMERICAN ACCESS CARE OF RHODE ISLAND ASC, LLC Bio-Medical Applications of Rhode Island, Inc. Fresenius USA Manufacturing, Inc. American Access Care, L.L.C. National Medical Care, Inc.

MOLLIE MILLER

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. Bio-Medical Applications of Rhode Island, Inc. Fresenius USA Manufacturing, Inc. National Medical Care, Inc.

DOROTHY RIZZO

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. Bio-Medical Applications of Rhode Island, Inc. Fresenius USA Manufacturing, Inc. National Medical Care, Inc.

THOMAS BROUILLARD

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. Fresenius USA Manufacturing, Inc.

PATRICIA RICH

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc.

ERIK LYESIUK

NNA of Rhode Island, Inc.

CHRISTOPH IMMICK

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc.

CHRISTINE SMITH

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. LUPUS FOUNDATION OF AMERICA, INC. Transitional Housing Initiative of Rhode Island

JOSEPH RANDOR

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc.

Related by address

920 WINTER ST., WALTHAM, MA, 02451, USA

Spectra Laboratories, Inc. Fresenius USA Marketing, Inc. NNA of Rhode Island, Inc. Fresenius USA Manufacturing, Inc. American Access Care, L.L.C. National Medical Care, Inc.

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State

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