| 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)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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
