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  5. PROVANT HEALTH SOLUTIONS, LLC

PROVANT HEALTH SOLUTIONS, LLC

Headquarter

Company Details

Name: PROVANT HEALTH SOLUTIONS, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Bankruptcy
Date of Organization in Rhode Island: 10 Sep 2004 (20 years ago)
Date of Dissolution: 27 Sep 2018 (6 years ago)
Date of Status Change: 27 Sep 2018 (6 years ago)
Identification Number: 000142702
ZIP code: 02818
County: Kent County
Principal Address: PO BOX 901, EAST GREENWICH, RI, 02818, USA
Mailing Address: P.O. BOX 901, EAST GREENWICH, RI, 02818, USA
Purpose: WELLNESS CONSULTING
NAICS: 621999 - All Other Miscellaneous Ambulatory Health Care Services

Links between entities

Type Company Name Company Number State
Headquarter of PROVANT HEALTH SOLUTIONS, LLC, ALABAMA 000-618-205 ALABAMA
Headquarter of PROVANT HEALTH SOLUTIONS, LLC, NEW YORK 3877675 NEW YORK
Headquarter of PROVANT HEALTH SOLUTIONS, LLC, FLORIDA M08000002888 FLORIDA
Headquarter of PROVANT HEALTH SOLUTIONS, LLC, MINNESOTA 63fd7579-93d4-e011-a886-001ec94ffe7f MINNESOTA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336370691 2009-08-05 2009-08-05 42 LADD ST, SUITE 214, EAST GREENWICH, RI, 028184361, US 42 LADD ST, SUITE 214, EAST GREENWICH, RI, 028184361, US

Contacts
Phone +1 401-885-1463
Fax 4013981708

Authorized person
Name MS. BARBARA B HAYDON
Role VICE PRESIDENT OF CLINICAL SERVICES
Phone 4018851463

Taxonomy
Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
License Number 000142702
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVANT HEALTH SOLUTIONS LLC 401 K PROFIT SHARING PLAN AND TRUST 2013 201778511 2014-07-11 PROVANT HEALTH SOLUTIONS LLC 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 561110
Sponsor’s telephone number 4012341219
Plan sponsor’s address 42 LADD STREET, PO BOX 901, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing LESLIE BENSON
Valid signature Filed with authorized/valid electronic signature
PROVANT HEALTH SOLUTIONS LLC 401 K PROFIT SHARING PLAN AND TRUST 2012 201778511 2013-06-28 PROVANT HEALTH SOLUTIONS LLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 561110
Sponsor’s telephone number 4018831463
Plan sponsor’s address 42 LADD STREET SUITE 214, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing FRANCIS PROVINO
Valid signature Filed with authorized/valid electronic signature
PROVANT HEALTH SOLUTIONS, LLC 2011 201778511 2012-06-18 PROVANT HEALTH SOLUTIONS, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 561110
Sponsor’s telephone number 4018851463
Plan sponsor’s address PO BOX 901, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 201778511
Plan administrator’s name PROVANT HEALTH SOLUTIONS, LLC
Plan administrator’s address PO BOX 901, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018851463

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing FRANCIS PROVINO
Valid signature Filed with authorized/valid electronic signature
PROVANT HEALTH SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST 2010 201778511 2011-04-28 PROVANT HEALTH SOLUTIONS LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 561110
Sponsor’s telephone number 4018841463
Plan sponsor’s address PO BOX 901, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 201778511
Plan administrator’s name PROVANT HEALTH SOLUTIONS LLC
Plan administrator’s address PO BOX 901, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018841463

Signature of
Role Plan administrator
Date 2011-04-28
Name of individual signing PROVANT HEALTH SOLUTIONS LLC
Valid signature Filed with authorized/valid electronic signature
PROVANT HEALTH SOLUTIONS LLC 2009 201778511 2010-07-07 PROVANT HEALTH SOLUTIONS LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 561110
Sponsor’s telephone number 4018851463
Plan sponsor’s address PO BOX 901, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 201778511
Plan administrator’s name PROVANT HEALTH SOLUTIONS LLC
Plan administrator’s address PO BOX 901, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018851463

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing PROVANT HEALTH SOLUTIONS LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HEATHER ANN PROVINO Agent 42 LADD STREET, EAST GREENWICH, RI, 02818, USA

Filings

Number Name File Date
201878413390 Notice of Commencement of Bankruptcy 2018-09-27
201755476610 Annual Report 2017-12-29
201743111200 Articles of Merger 2017-05-11
201611561890 Annual Report 2016-11-01
201587188820 Annual Report 2015-11-03
201448332720 Annual Report 2014-10-17
201329955880 Annual Report 2013-10-28
201202303900 Annual Report 2012-10-30
201184697860 Annual Report 2011-10-31
201070808110 Annual Report 2010-10-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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