| 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 PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
