| Name: | ELMWOOD MEDICAL TRANSPORTATION SERVICES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 03 Jan 2013 (12 years ago) |
| Date of Dissolution: | 30 Dec 2020 (4 years ago) |
| Date of Status Change: | 30 Dec 2020 (4 years ago) |
| Identification Number: | 000795544 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 209 MINER STREET SUITE B, PROVIDENCE, RI, 02905, USA |
| Purpose: | MEDICAL TRANSPORTATION SERVICE Title: 7-1.2-1701 |
| NAICS: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245570142 | 2013-03-01 | 2013-03-01 | 70 WARREN ST, SUITE 8, ROXBURY, MA, 021193248, US | 20 MINER ST, SUITE B, PROVIDENCE, RI, 029052108, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 617-442-3462 |
| Fax | 6174457874 |
Authorized person
| Name | IGOR YATSKAR |
| Role | PRSEIDENT |
| Phone | 6174423462 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | Agent | 20 MINER STREET SUITE B, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | PRESIDENT | 20 MINER STREET, SUITE B PROVIDENCE, RI 02905 USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | TREASURER | 20 MINER STREET, SUITE B PROVIDENCE, RI 02905 USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | SECRETARY | 20 MINER STREET, SUITE B PROVIDENCE, RI 02905 USA |
| Name | Role | Address |
|---|---|---|
| GEORGE BOROKHOV, EA | OTHER OFFICER | 28 COREY STREET, 2ND FL WEST ROXBURY, MA 02132 UNI |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | DIRECTOR | 20 MINER STREET, SUITE B PROVIDENCE, RI 02905 USA |
| Number | Name | File Date |
|---|---|---|
| 202082882590 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-30 |
| 202055101480 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201883267490 | Annual Report | 2018-12-27 |
| 201755304670 | Annual Report | 2017-12-22 |
| 201748398930 | Annual Report | 2017-08-11 |
| 201747871920 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| 201589658510 | Annual Report | 2015-12-22 |
| 201452442990 | Annual Report | 2014-12-26 |
| 201332080900 | Annual Report | 2013-12-24 |
| 201312628270 | Certificate of Correction | 2013-02-25 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
