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Premium Home Health Care, LLC

Company Details

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
Purpose: HOME HEALTH CARE
Principal Address: Google Maps Logo 1215 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA

Agent

Name Role Address
STACY SCARDUZZIO Agent 1215 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA

National Provider Identifier

NPI Number:
1447675350

Authorized Person:

Name:
WILLIAM F HOLT
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
4014900098

Filings

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

Date of last update: 31 May 2025

Sources: Rhode Island Department of State