| Name: | Marsha Fittro, P.C., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 15 Apr 2002 (23 years ago) |
| Date of Dissolution: | 12 Dec 2011 (13 years ago) |
| Date of Status Change: | 12 Dec 2011 (13 years ago) |
| Identification Number: | 000124179 |
| ZIP code: | 02908 |
| County: | Providence County |
| Principal Address: | 18 JOY STREET, PROVIDENCE, RI, 02908-2915, USA |
| Purpose: | TO PROVIDE REGISTERED NURSING SERVICES |
| Fictitious names: |
LEGACY NURSING SERVICES (trading name, 2005-06-24 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427081140 | 2006-07-08 | 2020-08-22 | 184 WAMPANOAG TRL, RIVERSIDE, RI, 029152206, US | 184 WAMPANOAG TRL, RIVERSIDE, RI, 029152206, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-435-5128 |
| Fax | 4012704704 |
Authorized person
| Name | MARSHA FITTRO |
| Role | PRESIDENT |
| Phone | 4014355128 |
Taxonomy
| Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
| License Number | 14926 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSOFRI |
| Number | 29238-2 |
| State | RI |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 30333 |
| State | RI |
| Issuer | UNITED HEALTHCARE OF RI |
| Number | 11450254 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| MARSHA FITTRO | Agent | 18 JOY STREET, PROVIDENCE, RI, 02908, USA |
| Name | Role | Address |
|---|---|---|
| MARSHA FITTRO | PRESIDENT | 18 JOY STREET PROVIDENCE, RI 02908 USA |
| Number | Name | File Date |
|---|---|---|
| 201186976990 | Revocation Certificate For Failure to File the Annual Report for the Year | 2011-12-12 |
| 201182459910 | Revocation Notice For Failure to File An Annual Report | 2011-09-13 |
| 201056170460 | Annual Report | 2010-01-12 |
| 200951874420 | Statement of Change of Registered/Resident Agent | 2009-09-30 |
| 200950711960 | Revocation Notice For Failure to Maintain a Registered Office | 2009-09-03 |
| 200948922280 | Annual Report | 2009-08-13 |
| 200950537920 | Registered Office Not Maintained | 2009-08-11 |
| 200948555550 | Revocation Notice For Failure to File An Annual Report | 2009-08-04 |
| 200809485020 | Annual Report | 2008-02-29 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
