| Name: | Medical Assisted Recovery, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 07 Nov 2007 (17 years ago) |
| Date of Dissolution: | 02 Nov 2017 (7 years ago) |
| Date of Status Change: | 02 Nov 2017 (7 years ago) |
| Identification Number: | 000273209 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 875 CENTERVILLE ROAD SUITE 15, WARWICK, RI, 02886, USA |
| Purpose: | MEDICAL SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508049305 | 2007-12-14 | 2007-12-14 | 875 CENTERVILLE RD, WARWICK, RI, 028864381, US | 875 CENTERVILLE RD, WARWICK, RI, 028864381, US | |||||||||||||||||
|
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| Phone | +1 508-675-2266 |
Authorized person
| Name | DR. ROBERT S CRAUSMAN |
| Role | PHYSICIAN |
| Phone | 5086752266 |
Taxonomy
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| License Number | MD 06091 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEFFREY B. CIANCIOLO, ESQ. | Agent | 148 WEST RIVER STREET SUITE 1E, PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT S. CRAUSMAN M.D. | PRESIDENT | 875 CENTERVILLE ROAD, SUITE 15 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| SYLVESTER C. SVIOKLA, M.D. | VICE PRESIDENT | 875 CENTERVILLE ROAD, SUITE 15 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| SYLVESTER C. SVIOKLA, M.D. | SECRETARY | 875 CENTERVILLE ROAD, SUITE 15 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT S. CRAUSMAN, M.D. | TREASURER | 875 CENTERVILLE ROAD, SUITE 15 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT S. CRAUSMAN, M.D. | DIRECTOR | 875 CENTERVILLE ROAD, SUITE 15 WARWICK, RI 02886 USA |
| SYLVESTER C. SVIOKLA, M.D. | DIRECTOR | 875 CENTERVILLE ROAD, SUITE 15 WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 201752796450 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-11-02 |
| 201747814260 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| 201693993370 | Annual Report | 2016-03-07 |
| 201556031630 | Annual Report | 2015-03-02 |
| 201450242510 | Statement of Change of Registered Office by the Registered Agent | 2014-11-19 |
| 201436357430 | Annual Report | 2014-02-27 |
| 201313345680 | Annual Report | 2013-03-01 |
| 201290981040 | Annual Report | 2012-03-15 |
| 201175530420 | Annual Report | 2011-02-24 |
| 201057999240 | Annual Report | 2010-02-05 |
Date of last update: 11 Oct 2024
Sources: Rhode Island Department of State
