| Name: | Premium Home Health Care, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 08 Jan 2013 (12 years ago) |
| Date of Dissolution: | 27 Jun 2017 (8 years ago) |
| Date of Status Change: | 27 Jun 2017 (8 years ago) |
| Identification Number: | 000795656 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 1215 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA |
| Purpose: | HOME HEALTH CARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447675350 | 2014-02-28 | 2014-02-28 | 1215 RESERVOIR AVE, CRANSTON, RI, 029206009, US | 1215 RESERVOIR AVE, CRANSTON, RI, 029206009, US | |||||||||||||||||
|
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| Phone | +1 401-490-0054 |
| Fax | 4014900098 |
Authorized person
| Name | WILLIAM F HOLT |
| Role | MEMBER |
| Phone | 4014900054 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STACY SCARDUZZIO | Agent | 1215 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA |
| Number | Name | File Date |
|---|---|---|
| 201746354000 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-06-27 |
| 201739671080 | Revocation Notice For Failure to File An Annual Report | 2017-04-06 |
| 201589431500 | Annual Report | 2015-12-18 |
| 201449757630 | Annual Report | 2014-11-07 |
| 201436641250 | Statement of Change of Registered/Resident Agent | 2014-03-03 |
| 201307994030 | Articles of Organization | 2013-01-08 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
