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Rhode Island Post- Acute Medical Services 1, P.C.

Company Details

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
Purpose: MEDICINE
Principal Address: Google Maps Logo 8511 FALLBROOK AVE STE 120, WEST HILLS, CA, 91304, USA

Industry & Business Activity

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

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

VICE PRESIDENT

Name Role Address
CLARENCE SMITH VICE PRESIDENT 8511 FALLBROOK AVE STE 120 WEST HILLS, CA 91304 USA

SECRETARY/TREASURER

Name Role Address
LIBBA ESTEP SECRETARY/TREASURER 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA

ASSISTANT SECRETARY

Name Role Address
JOHN R STAIR ASSISTANT SECRETARY 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA

ASSISTANT TREASURER

Name Role Address
JOHN BARRACK ASSISTANT TREASURER 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA
LARA OWENS ASSISTANT TREASURER 265 BROOKVIEW CENTRE WAY STE 400 KNOXVILLE, TN 37919 USA

DIRECTOR/PRESIDENT

Name Role Address
DAVID J ISTVAN DIRECTOR/PRESIDENT 307 S EVERGREEN AVE STE 101 WOODBURY, NJ 08096 USA

National Provider Identifier

NPI Number:
1134658966
Certification Date:
2023-11-27

Authorized Person:

Name:
DR. DAVID ISTVAN HOLTZCLAW
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Filings

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

Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State