| Name: | PROVIDENCE MEDICAL SUPPLIES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 22 Feb 2017 (8 years ago) |
| Date of Dissolution: | 22 Jul 2019 (6 years ago) |
| Date of Status Change: | 22 Jul 2019 (6 years ago) |
| Identification Number: | 001671203 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 10 DORRANCE STREET SUITE 700, PROVIDENCE, RI, 02903, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235670282 | 2017-03-09 | 2017-04-12 | 10 DORRANCE ST STE 700, PROVIDENCE, RI, 029032014, US | 10 DORRANCE ST STE 700, PROVIDENCE, RI, 029032014, US | |||||||||||||||
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| Fax | 4012648018 |
| Phone | +1 401-400-4168 |
Authorized person
| Name | MUHAMMAD ADEEL |
| Role | ADMINISTRATOR |
| Phone | 4014004168 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| INCORP SERVICES, INC. | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| MATTHEW BAGLEY | Manager | 10 DORRANCE ST STE 700 PROVIDENCE, RI 02903 USA |
| MEDICAL USA & INTERNATIONAL GROUP LLC | Manager | 10 DORRANCE ST STE 700 PROVIDENCE, RI 02903 USA |
| Number | Name | File Date |
|---|---|---|
| 201906510000 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992615180 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201734565870 | Articles of Organization | 2017-02-22 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
