| Name: | OCEAN STATE REHAB EQUIPMENT, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 06 Dec 2004 (20 years ago) |
| Date of Dissolution: | 01 Dec 2015 (9 years ago) |
| Date of Status Change: | 01 Dec 2015 (9 years ago) |
| Identification Number: | 000144332 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 2 WILLIAMS STREET, PROVIDENCE, RI, 02903, USA |
| Purpose: | TO OWN, MANAGE, MAINTAIN AND OPERATE A MEDICAL SUPPLY SERVICE AND SALES FACILITY |
| Fictitious names: |
MAJORS MEDICAL SUPPLY (trading name, 2005-05-04 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225097330 | 2006-03-20 | 2022-07-21 | 197 PUTNAM PIKE, JOHNSTON, RI, 029191468, US | 197 PUTNAM PIKE, JOHNSTON, RI, 029191468, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 401-231-7100 |
| Fax | 4012310763 |
Authorized person
| Name | MR. DAMON JOHN BRADLEY |
| Role | PRESIDENT |
| Phone | 4012317100 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 00 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 5730001 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| SCOTT A. RITCH, ESQ. | Agent | 2 WILLIAMS STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| DAVID J. BRADLEY | PRESIDENT | PO BOX 17279 SMITHFIELD, RI 02917 USA |
| Number | Name | File Date |
|---|---|---|
| 201588642240 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-12-01 |
| 201578335460 | Revocation Notice For Failure to File An Annual Report | 2015-09-08 |
| 201435384860 | Annual Report | 2014-02-10 |
| 201310160150 | Annual Report | 2013-01-22 |
| 201288816220 | Annual Report | 2012-01-31 |
| 201181380350 | Annual Report - Amended | 2011-08-04 |
| 201174909920 | Annual Report | 2011-02-14 |
| 201057573440 | Annual Report | 2010-01-29 |
| 200941607760 | Annual Report | 2009-01-29 |
| 200807380930 | Annual Report | 2008-01-31 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
