| Name: | Prime Healthcare Services-Landmark, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 Oct 2012 (12 years ago) |
| Identification Number: | 000793860 |
| ZIP code: | 02895 |
| County: | Providence County |
| Place of Formation: | DELAWARE |
| Principal Address: | 115 CASS AVENUE, WOONSOCKET, RI, 02895, USA |
| Purpose: | LEGAL ENTITY OF HOSPITAL |
| NAICS: | 622110 - General Medical and Surgical Hospitals |
| Fictitious names: |
Full Circle Health (trading name, 2016-06-14 - ) RI Women’s Health and Midwifery (trading name, 2016-02-19 - ) Landmark Physicians Office Services (trading name, 2014-01-09 - ) Landmark Medical Center (trading name, 2013-11-27 - ) Rehabilitation Hospital of Rhode Island (trading name, 2013-11-27 - 2021-03-03) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962055004 | 2019-07-18 | 2019-12-23 | 115 CASS AVE, OUTPATIENT PHARMACY, WOONSOCKET, RI, 028954731, US | 115 CASS AVE, WOONSOCKET, RI, 028954731, US | |||||||||||||||
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| Phone | +1 401-769-4100 |
| Fax | 4017671636 |
Authorized person
| Name | MR. KWUN HEUN BRIAN LEUNG |
| Role | PHARMACY SUPERVISOR |
| Phone | 4017694100 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN | 2015 | 222921474 | 2016-10-26 | LANDMARK MEDICAL CENTER | 52 | |||||||||||||
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| LANDMARK MEDICAL CENTER PENSION PLAN & TRUST | 2015 | 222921474 | 2016-08-17 | LANDMARK MEDICAL CENTER | 20 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202450992250 | Annual Report | 2024-04-12 |
| 202333606980 | Annual Report | 2023-04-21 |
| 202215755250 | Annual Report | 2022-04-26 |
| 202104126370 | Annual Report | 2021-10-28 |
| 202193521340 | Statement of Abandonment of Use of Fictitious Business Name | 2021-03-03 |
| 202070117480 | Annual Report | 2020-10-30 |
| 201925881060 | Annual Report | 2019-10-29 |
| 201859609310 | Annual Report | 2018-03-02 |
| 201751960960 | Annual Report | 2017-10-25 |
| 201628666360 | Annual Report | 2016-12-09 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
