| Name: | KEVIN E. BAILL, MD & ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 09 Jan 2014 (11 years ago) |
| Date of Dissolution: | 03 Aug 2023 (2 years ago) |
| Date of Status Change: | 03 Aug 2023 (2 years ago) |
| Identification Number: | 000879689 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 345 BLACKSTONE BOULEVARD, PROVIDENCE, RI, 02906, USA |
| Purpose: | MEDICAL SERVICES |
| NAICS: | 812990 - All Other Personal Services |
| Fictitious names: |
East Side Recovery Services (trading name, 2014-02-24 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205259793 | 2014-02-04 | 2014-03-13 | PO BOX 603198, PROVIDENCE, RI, 029060198, US | 345 BLACKSTONE BLVD, PROVIDENCE, RI, 029064800, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 917-447-2138 |
Authorized person
| Name | DR. KEVIN ELLIOT BAILL |
| Role | PRESIDENT |
| Phone | 9174472138 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | 12179 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| E. COLBY CAMERON, ESQ. | Agent | 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA |
| Number | Name | File Date |
|---|---|---|
| 202340105410 | Articles of Dissolution | 2023-08-03 |
| 202332404910 | Annual Report | 2023-04-05 |
| 202216766480 | Annual Report | 2022-05-03 |
| 202105313850 | Annual Report | 2021-11-23 |
| 202068621090 | Annual Report | 2020-10-26 |
| 201922482440 | Annual Report | 2019-10-03 |
| 201922483050 | Annual Report | 2019-10-03 |
| 201922480770 | Reinstatement | 2019-10-03 |
| 201906383910 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992651070 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
