| 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 |
| Fictitious names: |
East Side Recovery Services (trading name, 2014-02-24 - ) |
NAICS
812990 All Other Personal ServicesThis industry comprises establishments primarily engaged in providing personal services (except personal care services, death care services, drycleaning and laundry services, pet care services, photofinishing services, or parking space and/or valet parking services). Learn more at the U.S. Census Bureau
| 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 | |||||||||||||||||
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| 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
