Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Kent County
    4. ›
  4. 02818
    5. ›
  5. Adult Health Associates, Inc.

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 (8 years ago)
Date of Status Change: 26 Oct 2016 (8 years ago)
Identification Number: 000138169
ZIP code: 02818
County: Kent County
Principal Address: 1351 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA
Purpose: TO PROVIDE INTERNAL MEDICINE SERVICES TO ADULT PATIENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295913697 2008-02-07 2008-02-07 1351 S COUNTY TRL, SUITE 215, EAST GREENWICH, RI, 028185079, US 1351 S COUNTY TRL, SUITE 215, EAST GREENWICH, RI, 028185079, US

Contacts
Phone +1 401-886-9700
Fax 4018844235

Authorized person
Name DR. SHAHID KHAN
Role PARTNER
Phone 4018869700

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number MD10893
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2015 841638420 2016-09-10 ADULT HEALTH ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 S. COUNTY TRAIL, BUILDING 2, SUITE 215, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2016-09-10
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2014 841638420 2015-10-15 ADULT HEALTH ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 S. COUNTY TRAIL, BUILDING 2, SUITE 215, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2013 841638420 2014-10-14 ADULT HEALTH ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 S. COUNTY TRAIL, BUILDING 2, SUITE 215, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2012 841638420 2013-10-14 ADULT HEALTH ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2011 841638420 2012-10-10 ADULT HEALTH ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 841638420
Plan administrator’s name ADULT HEALTH ASSOCIATES, INC.
Plan administrator’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018869700

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2010 841638420 2011-10-17 ADULT HEALTH ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 841638420
Plan administrator’s name ADULT HEALTH ASSOCIATES, INC.
Plan administrator’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018869700

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature
ADULT HEALTH ASSOCIATES, INC. RETIREMENT PLAN 2009 841638420 2010-10-15 ADULT HEALTH ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4018869700
Plan sponsor’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 841638420
Plan administrator’s name ADULT HEALTH ASSOCIATES, INC.
Plan administrator’s address 1351 SOUTH COUNTY TRAIL, BUILDING #2 SUITE 215, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018869700

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing MUNAWAR AZAM
Valid signature Filed with authorized/valid electronic signature

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

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
201314046180 Annual Report 2013-03-18
201290618180 Annual Report 2012-02-29
201176093140 Annual Report 2011-02-28
201059797880 Annual Report 2010-03-01
200942062810 Annual Report 2009-02-06

Related by officers

SHEILA M. COOLEY

Red House Drafting & Design, Ltd. Logan Consulting, Inc. ETM Lumber & Hardware Supplies, Inc. Volunteer Guardians Program, Inc. Forty Rose Associates, Ltd. Stephen S. Falkenberry, MD, Inc. Elizabeth Tito, MD, Inc. PFM East Coast Safety, Inc. Process Facilities Services, Inc. Strategic Fab Services, Inc.

MUNAWAR AZAM

AZAM HOLDINGS, LLC Your Health, Inc.

Related by address

1351 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA

University Family Medicine, Inc. East Greenwich Spine and Sport, Inc. Elite Smiles, LLC

Date of last update: 11 Apr 2025

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated