| Name: | Wound Care Specialists of RI, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Mar 2020 (5 years ago) |
| Identification Number: | 001705235 |
| ZIP code: | 02882 |
| County: | Washington County |
| Principal Address: | 91 POINT JUDITH, NARRAGANSETT, RI, 02882, USA |
| Mailing Address: | 76 BATTERSON PARK ROAD SUITE 106, FARMINGTON, CT, 06032, USA |
| Purpose: | WOUND CARE MEDICAL PRACTICE PROVIDING CARE TO NURSING HOME PATIENTS |
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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881211738 | 2020-06-26 | 2023-10-23 | 76 BATTERSON PARK RD STE 106, FARMINGTON, CT, 060322571, US | 10 DORRANCE ST STE 700, PROVIDENCE, RI, 029032014, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 203-598-6045 |
| Fax | 2038790834 |
Authorized person
| Name | MR. JONATHAN BRENES |
| Role | CHIEF OPERATING OFFICER |
| Phone | 2035986045 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROBERT BRENES | Agent | 91 POINT JUDITH RD #357, NARRAGANSETT, RI, 02882, USA |
| Number | Name | File Date |
|---|---|---|
| 202460650120 | Annual Report | 2024-10-16 |
| 202460649890 | Annual Report | 2024-10-16 |
| 202460649700 | Annual Report | 2024-10-16 |
| 202460649520 | Annual Report | 2024-10-16 |
| 202460650210 | Reinstatement | 2024-10-16 |
| 202210493300 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-02-14 |
| 202106183100 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202192574950 | Statement of Change of Registered/Resident Agent | 2021-02-23 |
| 202035068130 | Articles of Organization | 2020-03-11 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
