| Name: | EAST SIDE PRIMARY CARE PROVIDENCE LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Jun 2016 (9 years ago) |
| Identification Number: | 001664550 |
| Principal Address: | 1 DIAMOND HILL ROAD, BERKELEY HEIGHTS, NJ, 07922, USA |
| Purpose: | HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL SERVICES |
| Historical names: |
EASE SIDE PRIMARY CARE PROVIDENCE LLC |
NAICS
622110 General Medical and Surgical HospitalsThis industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558816330 | 2016-08-22 | 2016-08-22 | 1195 N MAIN ST, PROVIDENCE, RI, 029041824, US | 1195 N MAIN ST, PROVIDENCE, RI, 029041824, US | |||||||||||||||||||
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| Phone | +1 401-334-3105 |
| Fax | 4013341144 |
Authorized person
| Name | FRANK M D'ALESSANDRO |
| Role | OWNER |
| Phone | 4015788816 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD08003 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2016-06-27 | EASE SIDE PRIMARY CARE PROVIDENCE LLC | EAST SIDE PRIMARY CARE PROVIDENCE LLC |
| Number | Name | File Date |
|---|---|---|
| 202453806310 | Annual Report | 2024-05-02 |
| 202334660080 | Annual Report | 2023-04-29 |
| 202215838430 | Annual Report | 2022-04-27 |
| 202104086610 | Annual Report | 2021-10-28 |
| 202103930220 | Statement of Change of Registered/Resident Agent | 2021-10-26 |
| 202075398910 | Annual Report | 2020-11-16 |
| 202032772300 | Annual Report | 2020-01-21 |
| 201992100730 | Statement of Change of Registered/Resident Agent | 2019-05-09 |
| 201879857300 | Annual Report - Amended | 2018-10-22 |
| 201879462180 | Annual Report | 2018-10-16 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
