| 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 |
| Principal Address: | 170 RHODES STREET, PROVIDENCE, RI, 02903, USA |
| Mailing Address: | 170 RHODES ST, PROVIDENCE, RI, 02903, USA |
| Purpose: | FAMILY MEDICINE AND INTERNAL MEDICINE MEDICAL OFFICE. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487203303 | 2019-09-04 | 2024-01-24 | 655 BROAD ST STE 201, PROVIDENCE, RI, 029071444, US | 655 BROAD ST STE 201, PROVIDENCE, RI, 029071444, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-642-0100 |
| Fax | 8339922318 |
Authorized person
| Name | MIRIANNYS RIVAS |
| Role | FNP-C |
| Phone | 4016420100 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LATINO TAX & ACCOUNTING PROFESSIONALS. LLC | Agent | 801 PARK AVE, CRANSTON, RI, 02910, USA |
| 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 |
| 202104763890 | Annual Report | 2021-11-05 |
| 202196339870 | Annual Report | 2021-05-11 |
| 202194535490 | Revocation Notice For Failure to File An Annual Report | 2021-03-16 |
| 202071689850 | Articles of Amendment | 2020-11-04 |
| 201927254420 | Statement of Change of Registered/Resident Agent Office | 2019-11-08 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
