| Name: | Ocean State Wellness Center, PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 22 Aug 2013 (11 years ago) |
| Date of Dissolution: | 12 Sep 2023 (a year ago) |
| Date of Status Change: | 12 Sep 2023 (a year ago) |
| Identification Number: | 000825622 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 68 CUMBERLAND STREET SUITE 203, WOONSOCKET, RI, 02895, USA |
| Purpose: | MEDICAL |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710313945 | 2013-09-19 | 2017-02-17 | PO BOX 2099, WOONSOCKET, RI, 028950950, US | 176 CASS AVE, WOONSOCKET, RI, 028954712, US | |||||||||||||||
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| Phone | +1 401-597-5897 |
| Fax | 4015970122 |
Authorized person
| Name | ABDUL R. BARAKAT |
| Role | OWNER |
| Phone | 4015975897 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL A. KELLY | Agent | KSP LAW PC 128 DORRANCE STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ABDUL R. BARAKAT | PRESIDENT | 60 AMY LANE NORTH ATTLEBORO, MA 02760 USA |
| Number | Name | File Date |
|---|---|---|
| 202341499130 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202338127660 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202221754830 | Annual Report | 2022-07-28 |
| 202220146960 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202194793980 | Statement of Change of Registered/Resident Agent | 2021-03-22 |
| 202192673130 | Annual Report | 2021-02-23 |
| 202063396100 | Annual Report | 2020-10-10 |
| 202055109990 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 202046123060 | Statement of Change of Registered/Resident Agent | 2020-07-23 |
| 201921544590 | Annual Report | 2019-09-27 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
