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  5. GIGA MED II, LLC

GIGA MED II, LLC

Company Details

Name: GIGA MED II, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Jul 2005 (20 years ago)
Date of Dissolution: 27 Jun 2017 (8 years ago)
Date of Status Change: 27 Jun 2017 (8 years ago)
Identification Number: 000149286
ZIP code: 02840
County: Newport County
Principal Address: 62 BROADWAY, NEWPORT, RI, 02840, USA
Mailing Address: 38 CHRISTINA DRIVE, TIVERTON, RI, 02878, USA
Purpose: PROVIDE HEALTHCARE AND RELATED MEDICAL SERVICES
Fictitious names: Newport Medical Center (trading name, 2005-07-19 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861593733 2006-09-25 2008-04-20 62 BROADWAY, NEWPORT, RI, 028402750, US 62 BROADWAY, NEWPORT, RI, 028402750, US

Contacts
Phone +1 401-849-0500
Fax 4018490511

Authorized person
Name DR. ABENA AMOABEA ADDO
Role PARTNER
Phone 4018490500

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number MD11019/MD10713
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number GM58646
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GIGA MED 401K PLAN 2014 010839832 2015-06-29 GIGA MED II LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621111
Sponsor’s telephone number 4018490500
Plan sponsor’s address 62 BROADWAY, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing ABENA ADDO
Valid signature Filed with authorized/valid electronic signature
GIGA MED 401K PLAN 2013 010839832 2014-06-24 GIGA MED II LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621111
Sponsor’s telephone number 4018490500
Plan sponsor’s address 62 BROADWAY, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing ABENA ADDO
Valid signature Filed with authorized/valid electronic signature
GIGA MED 401K PLAN 2012 010839832 2013-08-23 GIGA MED II LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621111
Sponsor’s telephone number 4018490500
Plan sponsor’s address 62 BROADWAY, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2013-08-23
Name of individual signing ABENA ADDO
Valid signature Filed with authorized/valid electronic signature
GIGA MED 401K PLAN 2012 010839832 2013-08-28 GIGA MED II LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621111
Sponsor’s telephone number 4018490500
Plan sponsor’s address 62 BROADWAY, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2013-08-28
Name of individual signing ABENA ADDO
Valid signature Filed with authorized/valid electronic signature
GIGA MED 401K PLAN 2011 010839832 2012-07-25 GIGA MED II LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621111
Sponsor’s telephone number 4018490500
Plan sponsor’s address 62 BROADWAY, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 010839832
Plan administrator’s name GIGA MED II LLC
Plan administrator’s address 62 BROADWAY, NEWPORT, RI, 02840
Administrator’s telephone number 4018490500

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing ABENA ADDO
Valid signature Filed with authorized/valid electronic signature
GIGA MED 401K PLAN 2010 010839832 2011-07-08 GIGA MED II LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621111
Sponsor’s telephone number 4018490500
Plan sponsor’s address 62 BROADWAY, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 010839832
Plan administrator’s name GIGA MED II LLC
Plan administrator’s address 62 BROADWAY, NEWPORT, RI, 02840
Administrator’s telephone number 4018490500

Signature of
Role Plan administrator
Date 2011-07-08
Name of individual signing ABENA ADDO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHARLES W. NORMAND, ESQ. Agent HINCKLEY ALLEN & SNYDER LLP 50 KENNEDY PLAZA SUITE 1500, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
201746275260 Revocation Certificate For Failure to File the Annual Report for the Year 2017-06-27
201740051130 Revocation Notice For Failure to File An Annual Report 2017-04-06
201588912280 Annual Report 2015-12-06
201450469610 Annual Report 2014-11-28
201444035670 Statement of Change of Registered/Resident Agent Office 2014-08-12
201329900420 Annual Report 2013-10-17
201203978710 Annual Report 2012-11-16
201187163010 Annual Report 2011-12-15
201187146590 Statement of Change of Registered/Resident Agent Office 2011-12-14
201070939850 Annual Report 2010-10-22

Related by officers

CHARLES W. NORMAND, ESQ.

Narragansett Council, Boy Scouts of America The Rhode Island State Nurses' Association NORTHEAST VOLUNTEERS IN OPTOMETRIC SERVICE TO HUMANITY, INC. ROSENKAM CORP. ANCHOR BEND GLASSWORKS, LLC Normand Law, Ltd. TIEMPO SOCIAL, LLC Partners in Primary Care, Inc. METACOMET MRI, INC. Ocean State Sports Medicine & Orthopedic Center, Inc.

Related by address

62 BROADWAY, NEWPORT, RI, 02840, USA

Newport Family Practice, Inc. Cryo-Surgery Associates, Inc. BIKE NEWPORT

38 CHRISTINA DRIVE, TIVERTON, RI, 02878, USA

THE ABA ASAMOA FOUNDATION

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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