| Name: | SOUTHERN NEW ENGLAND REGIONAL CANCER CENTER, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Apr 2002 (23 years ago) |
| Identification Number: | 000124347 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 115 CASS AVENUE, WOONSOCKET, RI, 02919, USA |
| Purpose: | JOINT VENTURE, HEALTHCARE SERVICE PROVIDER |
| NAICS: | 622310 - Specialty (except Psychiatric and Substance Abuse) Hospitals |
| Fictitious names: |
Precision Radiation Oncology of Rhode Island - Woonsocket (trading name, 2024-05-07 - ) Precision Radiation Oncology of Rhode Island - Warwick (trading name, 2024-05-07 - ) Precision Radiation Oncology of Rhode Island (trading name, 2024-05-07 - ) Kent Radiation Therapy (trading name, 2015-05-08 - ) Northern Rhode Island Radiation Therapy (trading name, 2015-05-08 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134109697 | 2006-01-20 | 2024-07-12 | 1419 SE 8TH TER STE 200, CAPE CORAL, FL, 339903213, US | 115 CASS AVE, WOONSOCKET, RI, 028954705, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 239-931-7342 |
| Fax | 2399317385 |
| Phone | +1 401-356-1701 |
| Fax | 4013564537 |
Authorized person
| Name | ROBERT L HIATT |
| Role | CFO |
| Phone | 6309368828 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9003933 |
| State | RI |
| Issuer | MEDICAID |
| Number | 9753320 |
| State | MA |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JOHN HOLIVER | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| JOSEPH IANONNE | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| JOSEPH ESPAT MD | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| FRANK SAIDARA | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| ALDO ROLFO | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| KEITH HANSEN | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| ROBERT LEGARE MD | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| JIM BURKE | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| CHARLES POWELL | MANAGER | 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA |
| Number | Name | File Date |
|---|---|---|
| 202455322610 | Annual Report - Amended | 2024-06-05 |
| 202455322430 | Annual Report - Amended | 2024-06-05 |
| 202454965340 | Annual Report - Amended | 2024-05-29 |
| 202454021460 | Fictitious Business Name Statement | 2024-05-07 |
| 202454021190 | Fictitious Business Name Statement | 2024-05-07 |
| 202454020670 | Fictitious Business Name Statement | 2024-05-07 |
| 202453369770 | Annual Report | 2024-04-30 |
| 202334567000 | Annual Report | 2023-04-28 |
| 202215435170 | Annual Report | 2022-04-21 |
| 202102674530 | Annual Report | 2021-10-05 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
