| Name: | EAST SIDE PRIMARY CARE, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 13 May 2008 (17 years ago) |
| Date of Dissolution: | 12 Dec 2016 (8 years ago) |
| Date of Status Change: | 12 Dec 2016 (8 years ago) |
| Identification Number: | 000386830 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 1191 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA |
| Mailing Address: | 650 WASHINGTON HIGHWAY SUITE 200, LINCOLN, RI, 02865, USA |
| Purpose: | PRIMARY CARE MEDICAL SERVICES |
| NAICS: | 621498 - All Other Outpatient Care Centers |
| Historical names: |
AGAPE PRIMARY CARE AND LASER CENTER, LLC |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235305871 | 2008-05-04 | 2008-06-03 | 1195 N MAIN ST, PROVIDENCE, RI, 029041824, US | 1195 N MAIN ST, PROVIDENCE, RI, 029041824, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 401-654-4433 |
Authorized person
| Name | FRANK MICHAEL D'ALESSANDRO |
| Role | OWNER/DIRECTOR |
| Phone | 4016544433 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | MD10894 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD08003 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH RAHEB, ESQ. | Agent | 650 GEORGE WASHINGTON HIGHWAY SUITE 201, LINCOLN, RI, 02865, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2009-09-10 | AGAPE PRIMARY CARE AND LASER CENTER, LLC | EAST SIDE PRIMARY CARE, LLC |
| Number | Name | File Date |
|---|---|---|
| 201754399190 | Annual Report | 2017-11-30 |
| 201628746260 | Articles of Dissolution | 2016-12-12 |
| 201611277430 | Annual Report | 2016-10-27 |
| 201587386280 | Annual Report | 2015-11-04 |
| 201448720860 | Annual Report | 2014-10-22 |
| 201329605910 | Annual Report | 2013-10-17 |
| 201202515060 | Annual Report | 2012-10-31 |
| 201183971330 | Annual Report | 2011-10-07 |
| 201072216580 | Annual Report | 2010-11-10 |
| 201062530670 | Annual Report | 2010-05-19 |
Date of last update: 12 Oct 2024
Sources: Rhode Island Department of State
