| 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 |
| Historical names: |
AGAPE PRIMARY CARE AND LASER CENTER, LLC |
NAICS
621498 All Other Outpatient Care CentersThis U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau
| 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 | |||||||||||||||||||||||||
|
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| 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
