| Name: | PROSPECT CHARTERCARE PHYSICIANS, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Aug 2013 (11 years ago) |
| Identification Number: | 000823580 |
| Principal Address: | 3824 HUGHES AVE., CULVER CITY, CA, 90232, USA |
| Purpose: | HEALTH CARE |
| NAICS: | 621610 - Home Health Care Services |
| Fictitious names: |
CharterCARE Medical Associates (trading name, 2014-03-25 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437544111 | 2015-03-31 | 2021-01-11 | 825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, PROVIDENCE, RI, 029084728, US | 50 MAUDE ST, PROVIDENCE, RI, 029084325, US | |||||||||||||||||
|
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| Phone | +1 401-456-2525 |
| Fax | 4014566742 |
| Phone | +1 401-456-2360 |
Authorized person
| Name | ROBERT JON ELDERS |
| Role | SECRETARY |
| Phone | 7147881249 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202452623260 | Annual Report | 2024-04-25 |
| 202333389450 | Annual Report | 2023-04-20 |
| 202214817940 | Annual Report | 2022-04-14 |
| 202102252080 | Annual Report | 2021-09-28 |
| 202056791860 | Annual Report | 2020-09-21 |
| 201922767600 | Annual Report | 2019-10-04 |
| 201877892790 | Annual Report | 2018-09-20 |
| 201750283150 | Annual Report | 2017-09-22 |
| 201628547290 | Annual Report - Amended | 2016-12-05 |
| 201609404020 | Annual Report | 2016-09-26 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
