| Name: | North Providence Medical Supply Company, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Sep 2009 (15 years ago) |
| Date of Dissolution: | 11 Sep 2023 (a year ago) |
| Date of Status Change: | 11 Sep 2023 (a year ago) |
| Identification Number: | 000512808 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 1830 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Mailing Address: | 1830 MINERAL SPRING AVE, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | PROVIDER OF MEDICAL SUPPLIES TO GENERAL PUBLIC AND OTHER LAWFUL PURPOSES. |
| Fictitious names: |
Horizon Wellness (trading name, 2017-09-22 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548771900 | 2017-10-12 | 2018-07-24 | 1830 MINERAL SPRING AVE, NORTH PROVIDENCE, RI, 029043864, US | 1339 SMITH ST, NORTH PROVIDENCE, RI, 02908, US | |||||||||||||||||||
|
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| Phone | +1 401-351-1900 |
| Fax | 4012703080 |
| Phone | +1 401-383-9600 |
| Fax | 4013697474 |
Authorized person
| Name | JAMES CROSS |
| Role | OFFICE ADMIN |
| Phone | 4016157311 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL J. LEPIZZERA, JR. ESQ. | Agent | 117 METRO CENTER BOULEVARD SUITE 2001, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202340860580 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-11 |
| 202337353060 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202215338200 | Annual Report | 2022-04-21 |
| 202104871630 | Annual Report | 2021-11-09 |
| 202082207320 | Annual Report | 2020-12-28 |
| 201930672570 | Annual Report | 2020-01-14 |
| 201882075870 | Annual Report | 2018-12-03 |
| 201753126940 | Annual Report | 2017-11-08 |
| 201750238970 | Fictitious Business Name Statement | 2017-09-22 |
| 201628329030 | Annual Report | 2016-12-01 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
