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Adult Health Associates, Inc.

Company Details

Name: Adult Health Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 23 Feb 2004 (21 years ago)
Date of Dissolution: 26 Oct 2016 (9 years ago)
Date of Status Change: 26 Oct 2016 (9 years ago)
Identification Number: 000138169
ZIP code: 02818
County: Kent County
Purpose: TO PROVIDE INTERNAL MEDICINE SERVICES TO ADULT PATIENTS
Principal Address: Google Maps Logo 1351 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA

Agent

Name Role Address
SHEILA M. COOLEY Agent 178 DIVISION STREET, EAST GREENWICH, RI, 02818, USA

PRESIDENT

Name Role Address
MUNAWAR AZAM PRESIDENT 8 MACERA CIRCLE WARWICK, RI 02886 USA

National Provider Identifier

NPI Number:
1295913697

Authorized Person:

Name:
DR. SHAHID KHAN
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4018844235

Form 5500 Series

Employer Identification Number (EIN):
841638420
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Number Name File Date
201611034600 Revocation Certificate For Failure to File the Annual Report for the Year 2016-10-26
201601467410 Revocation Notice For Failure to File An Annual Report 2016-07-07
201585578920 Annual Report 2015-10-22
201578330870 Revocation Notice For Failure to File An Annual Report 2015-09-08
201435461020 Annual Report 2014-02-11

Date of last update: 21 May 2025

Sources: Rhode Island Department of State