Name: | Southern New England Wellness, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 04 Sep 2018 (7 years ago) |
Identification Number: | 001687899 |
ZIP code: | 02878 |
County: | Newport County |
Principal Address: | 60 SOUTH LAKE ROAD, TIVERTON, RI, 02878, USA |
Purpose: | HEALTHCARE |
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 | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720644628 | 2019-05-15 | 2019-05-15 | 60 S LAKE RD, TIVERTON, RI, 028782830, US | 60 S LAKE RD, TIVERTON, RI, 028782830, US | |||||||||||||||||||||
|
Phone | +1 508-998-3041 |
Authorized person
Name | PATRICIA MELLO |
Role | AUTHORIZED OFFICIAL |
Phone | 5089983041 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
Is Primary | No |
Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
BRUCE A. WOLPERT, ESQ. | Agent | 235 PROMENADE STREET SUITE 475, PROVIDENCE, RI, 02908, USA |
Number | Name | File Date |
---|---|---|
202448939070 | Annual Report | 2024-03-13 |
202331736670 | Annual Report | 2023-03-24 |
202222501550 | Statement of Change of Registered/Resident Agent Office | 2022-08-26 |
202221654770 | Annual Report | 2022-07-26 |
202218710030 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
202104016040 | Annual Report | 2021-10-25 |
202069256930 | Annual Report | 2020-10-26 |
201923902820 | Annual Report | 2019-10-07 |
201876618940 | Articles of Organization | 2018-09-04 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2623077108 | 2020-04-11 | 0165 | PPP | 75 HIGHLAND AVEUNIT C, EAST PROVIDENCE, RI, 02914-1246 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State