Name: | Diagnostic Evaluation Institute, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of Organization in Rhode Island: | 21 Feb 2001 (24 years ago) |
Date of Dissolution: | 12 Nov 2019 (5 years ago) |
Date of Status Change: | 12 Nov 2019 (5 years ago) |
Identification Number: | 000117017 |
ZIP code: | 02852 |
County: | Washington County |
Principal Address: | 580 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852, USA |
Purpose: | SUBSTANCE ABUSE TREATMENT CLINIC |
NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
Fictitious names: |
Addiction Medicine Specialists (trading name, 2002-05-24 - ) Meadows Edge Recovery Center (trading name, 2002-05-24 - 2014-08-04) Addiction Associates of Rhode Island (trading name, 2002-05-24 - ) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750305405 | 2006-07-26 | 2013-09-12 | 580 TEN ROD RD, NORTH KINGSTOWN, RI, 028524220, US | 580 TEN ROD RD, NORTH KINGSTOWN, RI, 028524220, US | |||||||||||||||||||
|
Phone | +1 401-294-6170 |
Fax | 4012955255 |
Authorized person
Name | GISELLE L FEMINO |
Role | BUSINESS MANAGER |
Phone | 4012946170 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
License Number | 555 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PETER J. ROTELLI, ESQ. | Agent | 2224 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
Name | Role | Address |
---|---|---|
JOHN P. FERNINO | Manager | 580 TEN ROD ROAD NORTH KINGSTOWN, RI 02852 USA |
Number | Name | File Date |
---|---|---|
201927437760 | Articles of Dissolution | 2019-11-12 |
201927406720 | Annual Report | 2019-11-12 |
201927436420 | Annual Report | 2019-11-12 |
201927436880 | Annual Report | 2019-11-12 |
201927437030 | Annual Report | 2019-11-12 |
201927437300 | Annual Report | 2019-11-12 |
201927406450 | Reinstatement | 2019-11-12 |
201600023310 | Revocation Certificate For Failure to File the Annual Report for the Year | 2016-06-08 |
201694281700 | Revocation Notice For Failure to File An Annual Report | 2016-03-14 |
201446234080 | Annual Report | 2014-09-15 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State