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Lifestyle Medicine of Rhode Island, LLC

Company Details

Name: Lifestyle Medicine of Rhode Island, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 18 Dec 2008 (16 years ago)
Identification Number: 000488047
ZIP code: 02835
County: Newport County
Purpose: MEDICAL GUIDANCE FOR WEIGHT LOSS
Historical names: RHODE ISLAND WEIGHTLOSS, LLC
Principal Address: Google Maps Logo 530 EAST SHORE ROAD, JAMESTOWN, RI, 02835, USA
Mailing Address: Google Maps Logo 1524 ATWOOD AVENUE SUITE 336, JOHNSTON, RI, 02919, USA

Industry & Business Activity

NAICS

621399 Offices of All Other Miscellaneous Health Practitioners

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
MARTHA M. FONTAINE Agent 1524 ATWOOD AVENUE SUITE 336, JOHNSTON, RI, 02919, USA

National Provider Identifier

NPI Number:
1568978690

Authorized Person:

Name:
MRS. MARTHA MARY FONTAINE
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207QB0002X - Obesity Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
2083B0002X - Obesity Medicine (Preventive Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4012286855

Events

Type Date Old Value New Value
Name Change 2017-11-17 RHODE ISLAND WEIGHTLOSS, LLC Lifestyle Medicine of Rhode Island, LLC

Filings

Number Name File Date
202453266970 Annual Report 2024-04-30
202334667610 Annual Report 2023-04-29
202215559010 Annual Report 2022-04-23
202103842820 Annual Report 2021-10-25
202072224690 Annual Report 2020-11-06

USAspending Awards / Financial Assistance

Date:
2021-01-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58885.00
Total Face Value Of Loan:
58885.00

Paycheck Protection Program

Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
58885
Current Approval Amount:
58885
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
59099.57

Date of last update: 29 May 2025

Sources: Rhode Island Department of State