| Name: | WELLNORTH MEDICAL LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 05 Apr 2005 (20 years ago) |
| Date of Dissolution: | 03 Dec 2019 (5 years ago) |
| Date of Status Change: | 03 Dec 2019 (5 years ago) |
| Identification Number: | 000147048 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 1630 MINERAL SPRING AVENUE SUITE 2, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | PRACTICE OF MEDICINE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Health Clinic of RI (trading name, 2011-01-27 - ) |
| Historical names: |
Internal Medicine & Syncope Clinic LLC Health Clinic of R.I., LLC |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568667848 | 2007-06-18 | 2015-12-16 | 1630 MINERAL SPRING AVE, 2, NORTH PROVIDENCE, RI, 029044043, US | 1630 MINERAL SPRING AVE, 2, NORTH PROVIDENCE, RI, 029044025, US | |||||||||||||||||||
|
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| Phone | +1 401-438-1010 |
Authorized person
| Name | JAVID CALCATTI |
| Role | DIRECTOR |
| Phone | 4014381010 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | CP408256 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JAVID CALCATTI | Agent | 1635 MINERAL SPRING AVENUE SUITE 203, NORTH PROVIDENCE, RI, 02904, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2014-02-24 | Health Clinic of R.I., LLC | WELLNORTH MEDICAL LLC |
| Name Change | 2012-08-24 | Internal Medicine & Syncope Clinic LLC | Health Clinic of R.I., LLC |
| Number | Name | File Date |
|---|---|---|
| 201929129410 | Revocation Certificate For Failure to Maintain a Registered Office | 2019-12-03 |
| 201918887440 | Revocation Notice For Failure to Maintain a Registered Office | 2019-09-11 |
| 201916166420 | Registered Office Not Maintained | 2019-08-26 |
| 201993627650 | Annual Report | 2019-05-20 |
| 201992580280 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201863150680 | Annual Report | 2018-04-30 |
| 201627997780 | Annual Report | 2016-11-28 |
| 201589382910 | Annual Report | 2015-12-17 |
| 201589383070 | Annual Report | 2015-12-17 |
| 201589382730 | Reinstatement | 2015-12-17 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
