| 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) |
| 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
