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Prospect Blackstone Valley Surgicare, LLC

Company Details

Name: Prospect Blackstone Valley Surgicare, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Bankruptcy
Date of Organization in Rhode Island: 12 Dec 2016 (8 years ago)
Date of Dissolution: 13 Feb 2025 (4 months ago)
Date of Status Change: 13 Feb 2025 (4 months ago)
Identification Number: 001669088
ZIP code: 02919
County: Providence County
Purpose: HEALTHCARE
Principal Address: Google Maps Logo 1523 ATWOOD AVENUE SUITE 300, JOHNSTON, RI, 02919, USA

Contact Details

Phone +1 401-459-3800

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

Manager

Name Role Address
PROSPECT CHARTERCARE LLC Manager 1523 ATWOOD AVENUE, SUITE 300 JOHNSTON, RI 02919 USA

National Provider Identifier

NPI Number:
1457898215
Certification Date:
2021-01-15

Authorized Person:

Name:
ROBERT ELDERS
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
FAS01032 Freestanding Amb. Surg. Center Active 2017-05-01 2025-12-31
FAS01012 Freestanding Amb. Surg. Center Closed 2002-10-17 2007-12-31
FAS01008 Freestanding Amb. Surg. Center Closed 1987-09-30 2002-12-31

Filings

Number Name File Date
202453863340 Annual Report 2024-05-04
202333382550 Annual Report 2023-04-20
202214642290 Annual Report 2022-04-13
202102840520 Annual Report 2021-10-07
202059707570 Annual Report 2020-09-30

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2025-02-06
Action:
InitialFiling

Parties

Party Name:
Prospect Blackstone Valley Surgicare, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2024-12-02
Action:
Continuation

Parties

Party Name:
Prospect Blackstone Valley Surgicare, LLC
Party Role:
Debtor(s)
Party Name:
PROSPECT MEDICAL HOLDINGS, INC.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2023-05-24
Action:
InitialFiling

Parties

Party Name:
Prospect Blackstone Valley Surgicare, LLC
Party Role:
Debtor(s)

Date of last update: 01 Jun 2025

Sources: Rhode Island Department of State