| 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 |
| NAICS: | 622110 - General Medical and Surgical Hospitals |
| Historical names: |
EASE SIDE PRIMARY CARE PROVIDENCE LLC |
| 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
