| Name: | MIND AND BODY REHAB LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Sep 2016 (8 years ago) |
| Date of Dissolution: | 22 Jul 2019 (6 years ago) |
| Date of Status Change: | 22 Jul 2019 (6 years ago) |
| Identification Number: | 001666636 |
| ZIP code: | 02817 |
| County: | Kent County |
| Principal Address: | 294 ROBIN HOLLOW ROAD, WEST GREENWICH, RI, 02817, USA |
| Purpose: | PHYSICAL/OCCUPATIONAL THERAPY |
| NAICS: | 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427507854 | 2016-09-27 | 2016-09-27 | 461 MAIN ST, PAWTUCKET, RI, 028602913, US | 461 MAIN ST, PAWTUCKET, RI, 028602913, US | |||||||||||||||||||||||
|
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| Phone | +1 401-722-1311 |
| Fax | 4017222246 |
Authorized person
| Name | GREGORY ANDRADE |
| Role | OWNER |
| Phone | 40172213111 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GREGORY ANDRADE | Agent | 294 ROBIN HOLLOW ROAD, WEST GREENWICH, RI, 02817, USA |
| Number | Name | File Date |
|---|---|---|
| 201906465760 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992700200 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201753283670 | Annual Report | 2017-11-13 |
| 201608660300 | Articles of Organization | 2016-09-12 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
