| Name: | Snow Family Medicine, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 29 Oct 2018 (6 years ago) |
| Identification Number: | 001689561 |
| ZIP code: | 02921 |
| County: | Providence County |
| Principal Address: | 2200 PLAINFIELD PIKE, CRANSTON, RI, 02921, USA |
| Purpose: | PROVIDING A PRACTICE IN FAMILY MEDICINE. |
| Historical names: |
PATIENTS FIRST COMPREHENSIVE CARE LIMITED LIABILITY COMPANY |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104396324 | 2018-11-30 | 2019-08-09 | 23 ARROWHEAD TRL, NORTH SCITUATE, RI, 028572846, US | 2220 PLAINFIELD PIKE, CRANSTON, RI, 029212031, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-585-8500 |
| Fax | 4019422200 |
Authorized person
| Name | KRISTEN ANN SNOW |
| Role | PROVIDER |
| Phone | 4015858500 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1568827517 |
| State | RI |
| Issuer | MEDICAID |
| Number | 1104396324 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ROBERT A. D'AMICO II, ESQ. | Agent | 536 ATWELLS AVENUE, PROVIDENCE, RI, 02909, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2018-12-20 | PATIENTS FIRST COMPREHENSIVE CARE LIMITED LIABILITY COMPANY | Snow Family Medicine, LLC |
| Number | Name | File Date |
|---|---|---|
| 202447073270 | Annual Report | 2024-02-22 |
| 202336461540 | Annual Report | 2023-05-31 |
| 202210023840 | Annual Report | 2022-02-10 |
| 202102108530 | Annual Report | 2021-09-24 |
| 202072391400 | Annual Report | 2020-11-06 |
| 201918559040 | Annual Report | 2019-09-09 |
| 201983870220 | Articles of Amendment | 2019-01-07 |
| 201883072300 | Statement of Change of Registered/Resident Agent | 2018-12-21 |
| 201883014210 | Articles of Amendment | 2018-12-20 |
| 201880338490 | Articles of Organization | 2018-10-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2178337202 | 2020-04-15 | 0165 | PPP | 23 Arrowhead Trail, North Scituate, RI, 02921 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4783478300 | 2021-01-23 | 0165 | PPS | 23 Arrowhead Trl, North Scituate, RI, 02857-2846 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
