| Name: | Taylor Health Enterprises, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Aug 2019 (6 years ago) |
| Identification Number: | 001699196 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 400 WARREN AVENUE SUITE 2L-A, EAST PROVIDENCE, RI, 02914, USA |
| Mailing Address: | 400 WARREN AVE SUITE 2L-A, EAST PROVIDENCE, RI, 02914, US |
| Purpose: | PRIMARY CARE CLINIC, WEIGHT LOSS PROGRAM, ALL AGES |
| Fictitious names: |
Discreet Testing Solution (trading name, 2022-02-16 - ) Lotus Noire Health, LLC (trading name, 2020-02-09 - ) |
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 | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164040069 | 2020-07-08 | 2024-07-22 | 400 WARREN AVE STE 2L-A, EAST PROVIDENCE, RI, 029143826, US | 460 SMITHFIELD AVE, PAWTUCKET, RI, 028602576, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 401-305-0080 |
| Fax | 8666550696 |
Authorized person
| Name | TEMPERANCE TAYLOR |
| Role | OWNER |
| Phone | 4013050080 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 2083B0002X - Obesity Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1164040069 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| TEMPERANCE TAYLOR | Agent | 400 WARREN AVENUE SUITE 2L-A, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202455414810 | Annual Report | 2024-06-06 |
| 202333625080 | Annual Report | 2023-04-22 |
| 202210949870 | Fictitious Business Name Statement | 2022-02-16 |
| 202210186950 | Annual Report | 2022-02-13 |
| 202209926820 | Annual Report | 2022-02-09 |
| 202106131390 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202188436020 | Annual Report | 2021-02-04 |
| 202044070050 | Statement of Change of Registered/Resident Agent Office | 2020-07-02 |
| 202033982410 | Fictitious Business Name Statement | 2020-02-09 |
| 201914172540 | Articles of Organization | 2019-08-21 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Active | P3280041 | TAYLOR HEALTH ENTERPRISES, LLC | LOTUS NOIRE HEALTH | LWMDR8K4ZDU3 | 400 WARREN AVE STE 2LA, EAST PROVIDENCE, RI, 02914-3826 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621399 |
| NAICS Code's Description | Offices of All Other Miscellaneous Health Practitioners |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
