| Name: | PopHealthCare Medical Services of RI, PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 21 Feb 2017 (8 years ago) |
| Date of Dissolution: | 10 Feb 2021 (4 years ago) |
| Date of Status Change: | 10 Feb 2021 (4 years ago) |
| Identification Number: | 001671149 |
| Principal Address: | 113 SEABOARD LANE SUITE B200, FRANKLIN, TN, 37067, USA |
| Purpose: | HEALTH CARE SERVICES |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639606395 | 2017-05-12 | 2017-05-12 | 2374 POST RD, SUITE 203, WARWICK, RI, 028862260, US | 2374 POST RD, SUITE 203, WARWICK, RI, 028862260, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 800-436-1827 |
Authorized person
| Name | KIRK STANLEY |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 6157217023 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| DAVID ASHLEY | PRESIDENT | 113 SEABOARD LN STE B200 FRANKLIN, TN 37067 US |
| Number | Name | File Date |
|---|---|---|
| 202190664590 | Articles of Dissolution | 2021-02-10 |
| 202036699810 | Annual Report | 2020-03-23 |
| 201988988830 | Annual Report | 2019-03-20 |
| 201860594450 | Annual Report | 2018-03-20 |
| 201734480830 | Articles of Incorporation | 2017-02-21 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
