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Wellness Connect Go Beyond Medicine LLC

Company Details

Name: Wellness Connect Go Beyond Medicine LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 20 May 2019 (6 years ago)
Identification Number: 001696195
ZIP code: 02903
County: Providence County
Purpose: FAMILY MEDICINE AND INTERNAL MEDICINE MEDICAL OFFICE.
Principal Address: Google Maps Logo 170 RHODES STREET, PROVIDENCE, RI, 02903, USA
Mailing Address: Google Maps Logo 170 RHODES ST, PROVIDENCE, RI, 02903, USA

Contact Details

Phone +1 401-642-0100

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
LATINO TAX & ACCOUNTING PROFESSIONALS. LLC Agent 801 PARK AVE, CRANSTON, RI, 02910, USA

National Provider Identifier

NPI Number:
1487203303
Certification Date:
2024-01-24

Authorized Person:

Name:
MIRIANNYS RIVAS
Role:
FNP-C
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No

Contacts:

Fax:
8339922318

Licenses

License No License Type Status Date Issued Expiration Date
BTS00186 Blood Testing Screening Site Active 2025-05-02 2026-05-02

Filings

Number Name File Date
202450267600 Annual Report 2024-04-05
202331098930 Annual Report 2023-03-18
202225146190 Statement of Change of Registered/Resident Agent 2022-12-12
202221231980 Annual Report 2022-07-13
202219785460 Revocation Notice For Failure to File An Annual Report 2022-06-22

Date of last update: 13 May 2025

Sources: Rhode Island Department of State