| Name: | Sharon Philbin Family Nurse Practitioner LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 04 Mar 2016 (9 years ago) |
| Identification Number: | 001661054 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 100 LAFAYETTE STREET #302, PAWTUCKET, RI, 02860, USA |
| Purpose: | NURSE PRACTITIONER |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124778345 | 2022-03-29 | 2023-05-11 | 100 LAFAYETTE ST # 302, PAWTUCKET, RI, 028606008, US | 100 LAFAYETTE ST # 302, PAWTUCKET, RI, 028606008, US | |||||||||||||||||
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| Phone | +1 401-632-6555 |
| Fax | 4014754112 |
| Phone | +1 401-475-4212 |
Authorized person
| Name | SHARON PHILBIN |
| Role | OWNER |
| Phone | 4014744212 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHARON PHILBIN FAMILY NURSE PRACTITIONER 401K PLAN | 2023 | 811696208 | 2024-12-18 | SHARON PHILBIN FAMILY NURSE PRACTITIONER | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-12-18 |
| Name of individual signing | SHARON PHILBIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 4016326555 |
| Plan sponsor’s address | 100 LAFAYETTE STREET #302, PAWTUCKET, RI, 02861 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-30 |
| Name of individual signing | SHARON PHILBIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 4016326555 |
| Plan sponsor’s address | 100 LAFAYETTE STREET #302, PAWTUCKET, RI, 02861 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-24 |
| Name of individual signing | SHARON PHILBIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOSEPH B FARMER, CPA, MST | Agent | SIX STATE STREET, WARREN, RI, 02885, USA |
| Number | Name | File Date |
|---|---|---|
| 202447666030 | Annual Report | 2024-03-01 |
| 202342172870 | Articles of Amendment | 2023-10-12 |
| 202329344500 | Annual Report | 2023-02-25 |
| 202211694030 | Annual Report | 2022-02-27 |
| 202107286260 | Statement of Change of Registered/Resident Agent | 2021-12-20 |
| 202103691860 | Annual Report | 2021-10-21 |
| 202073333300 | Annual Report | 2020-11-04 |
| 201920142490 | Annual Report | 2019-09-17 |
| 201877792090 | Annual Report | 2018-09-19 |
| 201750947250 | Annual Report | 2017-10-04 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
