| 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 |
| County: | Providence County |
| Principal Address: | 4 RICHMOND SQUARE, PROVIDENCE, RI, 02906, USA |
| Purpose: | ACCOUNTABLE CARE ORGANIZATION |
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 |
| 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 |
| 202104060160 | Annual Report | 2021-10-27 |
| 202193457450 | Annual Report | 2021-03-02 |
| 201915523170 | Annual Report | 2019-08-26 |
| 201988999340 | Annual Report | 2019-03-21 |
| 201876313980 | Statement of Change of Registered/Resident Agent | 2018-08-30 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
