| Name: | Prospect Blackstone Valley Surgicare, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Dec 2016 (8 years ago) |
| Identification Number: | 001669088 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1523 ATWOOD AVENUE SUITE 300, JOHNSTON, RI, 02919, USA |
| Purpose: | HEALTHCARE |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457898215 | 2017-01-31 | 2021-01-15 | 1526 ATWOOD AVE, SUITE 300, JOHNSTON, RI, 029193289, US | 1526 ATWOOD AVE, SUITE 300, JOHNSTON, RI, 029193289, US | |||||||||||||
|
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| Phone | +1 401-459-3800 |
Authorized person
| Name | ROBERT ELDERS |
| Role | SECRETARY |
| Phone | 3109434500 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| PROSPECT CHARTERCARE LLC | MANAGER | 1523 ATWOOD AVENUE, SUITE 300 JOHNSTON, RI 02919 USA |
| 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 |
| 201925921900 | Annual Report | 2019-10-29 |
| 201879933040 | Annual Report | 2018-10-23 |
| 201752571930 | Annual Report | 2017-10-31 |
| 201628748200 | Articles of Organization | 2016-12-12 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
