| Name: | CHILDREN'S CHOICE PEDIATRICS, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 13 Oct 2005 (19 years ago) |
| Identification Number: | 000151209 |
| ZIP code: | 02893 |
| County: | Kent County |
| Principal Address: | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893, USA |
| Purpose: | MEDICAL SERVICES PROVIDER |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912074675 | 2006-11-29 | 2008-07-15 | 37 WASHINGTON ST, WEST WARWICK, RI, 028934927, US | 37 WASHINGTON ST, WEST WARWICK, RI, 028934927, US | |||||||||||||||
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| Phone | +1 401-381-0066 |
| Fax | 4013810068 |
Authorized person
| Name | KARIM ZOOL KHANBHAI |
| Role | M.D |
| Phone | 4013810066 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCP CASH BALANCE PLAN | 2023 | 203564408 | 2024-06-18 | CHILDREN'S CHOICE PEDIATRICS, LLC | 3 | |||||||||||||||||||||||
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| CCP 401(K)PLAN | 2014 | 203564408 | 2015-10-07 | CHILDREN'S CHOICE PEDIATRICS, LLC | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-07 |
| Name of individual signing | KARIM KHANBHAI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013810066 |
| Plan sponsor’s address | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-01 |
| Name of individual signing | KARIM KHANBHAI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013810066 |
| Plan sponsor’s address | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-09 |
| Name of individual signing | KARIM KHANBHAI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANTHONY F. AMALFETANO, ESQ. | Agent | 140 COWESETT GREEN DRIVE, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202446060820 | Annual Report | 2024-02-07 |
| 202327973540 | Annual Report | 2023-02-06 |
| 202211070140 | Annual Report | 2022-02-16 |
| 202101825960 | Annual Report | 2021-09-20 |
| 202197367980 | Statement of Change of Registered/Resident Agent Office | 2021-06-01 |
| 202062963600 | Annual Report | 2020-10-06 |
| 201921339790 | Annual Report | 2019-09-23 |
| 201878199050 | Annual Report | 2018-09-21 |
| 201749534490 | Annual Report | 2017-09-11 |
| 201608910810 | Annual Report | 2016-09-15 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
