| Name: | ARA-RHODE ISLAND DIALYSIS II LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Cancelled |
| Date of Organization in Rhode Island: | 25 May 2004 (21 years ago) |
| Date of Dissolution: | 26 Apr 2022 (3 years ago) |
| Date of Status Change: | 26 Apr 2022 (3 years ago) |
| Identification Number: | 000140476 |
| Place of Formation: | DELAWARE |
| Principal Address: | 500 CUMMINGS CENTER SUITE 6550, BEVERLY, MA, 01915, USA |
| Purpose: | ESTABLISHING, OWNING AND OPERATING ONE OR MORE OUTPATIENT RENAL DIALYSIS FACILITIES OR ANY OTHER BUSINESS PURPOSE PERMITTED BY LAW. |
| NAICS: | 621492 - Kidney Dialysis Centers |
| Fictitious names: |
Kidney Health Center of East Providence (trading name, 2007-02-27 - ) Kidney Health Center of Woonsocket (trading name, 2007-02-27 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225242381 | 2007-05-09 | 2020-03-10 | 2100 DIAMOND HILL RD, WOONSOCKET, RI, 028951544, US | 2100 DIAMOND HILL RD, WOONSOCKET, RI, 028951544, US | |||||||||||||||||||||
|
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| Phone | +1 401-765-4995 |
| Fax | 4017698315 |
Authorized person
| Name | MRS. SHARI COUSINS |
| Role | SR. VP OF CLINICAL & REGULATORY |
| Phone | 9789223080 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | AR68643 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202215772860 | Certificate of Cancellation | 2022-04-26 |
| 202215068530 | Annual Report | 2022-04-19 |
| 202103238560 | Annual Report | 2021-10-14 |
| 202059985040 | Annual Report | 2020-10-01 |
| 201924785080 | Annual Report | 2019-10-18 |
| 201877923430 | Annual Report | 2018-09-21 |
| 201749869970 | Annual Report | 2017-09-18 |
| 201609486800 | Annual Report | 2016-09-27 |
| 201579706340 | Annual Report | 2015-09-18 |
| 201446453300 | Annual Report | 2014-09-22 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
