INTEGRA COMMUNITY CARE NETWORK, LLC
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| Name: | INTEGRA COMMUNITY CARE NETWORK, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 29 May 2014 (11 years ago) |
| Identification Number: | 000941667 |
| ZIP code: | 02906 |
| City: | Providence |
| County: | Providence County |
| Purpose: | ACCOUNTABLE CARE ORGANIZATION |
| Principal Address: |
4 RICHMOND SQUARE, PROVIDENCE, RI, 02906, USA
|
NAICS
621999 All Other Miscellaneous Ambulatory Health Care ServicesThis U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| ASHLEY TAYLOR | Agent | 4 RICHMOND SQUARE, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| COLETTE VIEAU MD | MANAGER | 95 PITMAN ST SUITE 2200 PROVIDENCE, RI 02906 USA |
| TODD CONKLIN (EX OFFICIO) | MANAGER | 4 RICHMOND SQUARE PROVIDENCE, RI 02906 USA |
| HERMAN AYVAZYAN MD | MANAGER | 450 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02914 USA |
| BENJAMIN LICHTENFELS DO | MANAGER | 2358 S COUNTY TRL EAST GREENWICH, RI 02818 USA |
| PIERRE MANZO MD | MANAGER | 1351 S COUNTY TRL #301 EAST GREENWICH, RI 02818 USA |
| CAROLINE RICHARDSON MD | MANAGER | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| ANDREA GALGAY | MANAGER | 1150 NEW LONDON AVENUE, SUITE 110 CRANSTON, RI 02920 USA |
| FADI MANSOURATI MD | MANAGER | 966 MINERAL SPRING AVE PROVIDENCE, RI 02904 USA |
| PETER OPPENHEIMER PHD | MANAGER | 260 WASECA AVE BARRINGTON, RI 02806 USA |
| NOAH BENEDICT | MANAGER | 1150 NEW LONDON AVENUE, SUITE 110 CRANSTON, RI 02920 USA |
A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.
Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a
government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity
doing business with the federal government must register for a UEI.
| Number | Name | File Date |
|---|---|---|
| 202451290940 | Annual Report | 2024-04-17 |
| 202343258870 | Articles of Amendment | 2023-12-07 |
| 202334314190 | Annual Report | 2023-04-27 |
| 202216365250 | Annual Report | 2022-04-29 |
| 202104490660 | Statement of Change of Registered/Resident Agent Office | 2021-11-02 |
This company hasn't received any reviews.
Date of last update: 14 Jul 2025
Sources: Rhode Island Department of State