| Name: | Healthy Beginnings Center for Women, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 01 Jun 2010 (15 years ago) |
| Date of Dissolution: | 22 Apr 2013 (12 years ago) |
| Date of Status Change: | 22 Apr 2013 (12 years ago) |
| Identification Number: | 000541401 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 215 TOLLGATE RD STE 106, WARWICK, RI, 02886, USA |
| Purpose: | health services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811290919 | 2010-12-10 | 2011-07-28 | 215 TOLL GATE RD, SUITE 106, WARWICK, RI, 028864458, US | 215 TOLL GATE RD, SUITE 106, WARWICK, RI, 028864458, US | |||||||||||||||||||||||||
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| Phone | +1 401-732-5600 |
| Fax | 4017349400 |
Authorized person
| Name | MICHAEL ECONOMOS |
| Role | OWNER |
| Phone | 4017325600 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | MD09195 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | HE84763 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| GORDON A. CARPENTER | Agent | C/O GOMES 3RD FL 91 FRIENDSHIP STREET, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 201315535160 | Revocation Certificate For Failure to File the Annual Report for the Year | 2013-04-22 |
| 201308125910 | Revocation Notice For Failure to File An Annual Report | 2013-01-09 |
| 201184709310 | Annual Report | 2011-10-31 |
| 201178245510 | Statement of Change of Registered/Resident Agent Office | 2011-04-29 |
| 201062717080 | Articles of Organization | 2010-06-01 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
