| Name: | Rhode Island Post- Acute Medical Services 1, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Mar 2017 (8 years ago) |
| Identification Number: | 001671722 |
| Principal Address: | 8511 FALLBROOK AVE STE 120, WEST HILLS, CA, 91304, USA |
| Purpose: | MEDICINE |
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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134658966 | 2017-06-06 | 2023-11-27 | 265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN, 379194052, US | 161 POST RD, WESTERLY, RI, 028912673, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 865-693-1000 |
Authorized person
| Name | DR. DAVID ISTVAN HOLTZCLAW |
| Role | PRESIDENT |
| Phone | 9545841000 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| CLARENCE SMITH | VICE PRESIDENT | 8511 FALLBROOK AVE STE 120 WEST HILLS, CA 91304 USA |
| Name | Role | Address |
|---|---|---|
| LIBBA ESTEP | SECRETARY/TREASURER | 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA |
| Name | Role | Address |
|---|---|---|
| JOHN R STAIR | ASSISTANT SECRETARY | 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA |
| Name | Role | Address |
|---|---|---|
| JOHN BARRACK | ASSISTANT TREASURER | 265 BROOKVIEW CENTRE WAY, SUITE 400 KNOXVILLE, TN 37919 USA |
| LARA OWENS | ASSISTANT TREASURER | 265 BROOKVIEW CENTRE WAY STE 400 KNOXVILLE, TN 37919 USA |
| Name | Role | Address |
|---|---|---|
| DAVID J ISTVAN | DIRECTOR/PRESIDENT | 307 S EVERGREEN AVE STE 101 WOODBURY, NJ 08096 USA |
| Number | Name | File Date |
|---|---|---|
| 202446359230 | Annual Report | 2024-02-14 |
| 202333075920 | Annual Report | 2023-04-17 |
| 202214764460 | Annual Report | 2022-04-14 |
| 202193235940 | Annual Report | 2021-02-28 |
| 202034986660 | Annual Report | 2020-02-24 |
| 201986948520 | Annual Report | 2019-02-19 |
| 201858804770 | Annual Report | 2018-02-22 |
| 201737861320 | Articles of Incorporation | 2017-03-10 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
