Name: | Geriatrics Associates LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 14 Mar 2011 (14 years ago) |
Date of Dissolution: | 27 Nov 2012 (12 years ago) |
Date of Status Change: | 27 Nov 2012 (12 years ago) |
Identification Number: | 000605272 |
ZIP code: | 02920 |
County: | Providence County |
Principal Address: | 1150 NEW LONDON AVENUE, CRANSTON, RI, 02920, USA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043509672 | 2011-04-05 | 2011-04-05 | 1150 NEW LONDON AVE, CRANSTON, RI, 02920, US | 1150 NEW LONDON AVE, CRANSTON, RI, 029203036, US | |||||||||||||
|
Phone | +1 401-952-8300 |
Authorized person
Name | ANDREW C MACKO |
Role | PHYSICIAN ASSISTANT |
Phone | 4019528300 |
Taxonomy
Taxonomy Code | 363AM0700X - Medical Physician Assistant |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ANDREW MACKO PAC | Agent | 1150 NEW LONDON AVENUE, CRANSTON, RI, 02920, USA |
Number | Name | File Date |
---|---|---|
201204522840 | Miscellaneous Filing (No Fee) | 2012-12-05 |
201204107010 | Revocation Certificate For Failure to Maintain a Registered Office | 2012-11-27 |
201297663750 | Miscellaneous Filing (No Fee) | 2012-09-07 |
201296497040 | Revocation Notice For Failure to Maintain a Registered Office | 2012-08-29 |
201296454980 | Registered Office Not Maintained | 2012-08-14 |
201176514320 | Articles of Organization | 2011-03-14 |
Date of last update: 15 Oct 2024
Sources: Rhode Island Department of State