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  5. MEDICINE AND LONG TERM CARE ASSOCIATES, LLC

MEDICINE AND LONG TERM CARE ASSOCIATES, LLC

Company Details

Name: MEDICINE AND LONG TERM CARE ASSOCIATES, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 10 Mar 2006 (19 years ago)
Identification Number: 000154469
ZIP code: 02920
County: Providence County
Principal Address: 333 BUDLONG ROAD, CRANSTON, RI, 02920, USA
Purpose: PHYSICIAN OFFICE - HEALTH SERVICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073539227 2006-07-14 2007-07-30 333 BUDLONG RD, CRANSTON, RI, 029206337, US 333 BUDLONG RD, CRANSTON, RI, 029206337, US

Contacts
Phone +1 401-943-4530

Authorized person
Name HAO YUAN HUANG
Role M.D./OWNER
Phone 4019434530

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 6040
State RI
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 12044
State RI
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number MD03601
State RI
Is Primary No
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number 12101
State RI
Is Primary No
Taxonomy Code 363A00000X - Physician Assistant
License Number PA00420
State RI
Is Primary No
Taxonomy Code 363A00000X - Physician Assistant
License Number PA00144
State RI
Is Primary No
Taxonomy Code 363AM0700X - Medical Physician Assistant
License Number 00220
State RI
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 9004948
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2023 061776245 2024-07-30 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-30
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2022 061776245 2023-06-15 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-15
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2021 061776245 2022-07-31 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2022-07-31
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-31
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2020 061776245 2021-09-28 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2019 061776245 2020-09-25 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2020-09-25
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-25
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2018 061776245 2019-09-19 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-19
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2017 061776245 2018-08-15 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-15
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2016 061776245 2017-09-05 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2017-09-05
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-05
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2015 061776245 2016-08-23 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2016-08-23
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-23
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
HAO YUAN HUANG, M.D. DEFINED CONTRIBUTION PLAN 2014 061776245 2015-09-19 MEDICINE AND LONG TERM CARE ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2015-09-19
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-19
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/07/20141007184915P040014809021001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716204345P040389967153001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/18/20120818084759P030032919426001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 061776245
Plan administrator’s name MEDICINE AND LONG TERM CARE ASSOCIATES, LLC
Plan administrator’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920
Administrator’s telephone number 4019465199

Signature of
Role Plan administrator
Date 2012-08-18
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-18
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/24/20110924082728P040045210327001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 061776245
Plan administrator’s name MEDICINE AND LONG TERM CARE ASSOCIATES, LLC
Plan administrator’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920
Administrator’s telephone number 4019465199

Signature of
Role Plan administrator
Date 2011-09-24
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-24
Name of individual signing HAO HUANG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/16/20100916212147P040123193832001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4019465199
Plan sponsor’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 061776245
Plan administrator’s name MEDICINE AND LONG TERM CARE ASSOCIATES, LLC
Plan administrator’s address 333 BUDLONG ROAD, CRANSTON, RI, 02920
Administrator’s telephone number 4019465199

Signature of
Role Plan administrator
Date 2010-09-16
Name of individual signing HAO HUANG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-16
Name of individual signing HAO HUANG, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAO HUANG, MD Agent 333 BUDLONG ROAD, CRANSTON, RI, 02920, USA

Filings

Number Name File Date
202445543090 Annual Report 2024-02-05
202327339030 Annual Report 2023-02-02
202209174410 Annual Report 2022-02-02
202100709270 Annual Report 2021-09-02
202054716900 Annual Report 2020-09-15
201917211570 Annual Report 2019-09-03
201876734460 Annual Report 2018-09-05
201749075830 Annual Report 2017-09-01
201608701760 Annual Report 2016-09-12
201580734240 Annual Report 2015-09-25

Related by officers

No related officers

Related by address

333 BUDLONG ROAD, CRANSTON, RI, 02920, USA

WELLSPRING MED SPA, LLC Laura Henseler MD, LLC

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

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