| Name: | Upward Health of Rhode Island PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Mar 2020 (5 years ago) |
| Identification Number: | 001706276 |
| ZIP code: | 02909 |
| County: | Providence County |
| Principal Address: | 188 VALLEY ST, PROVIDENCE, RI, 02909, USA |
| Purpose: | PHYSICIAN SERVICES, INCLUDING PRIMARY CARE MEDICAL SERVICES |
| NAICS: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891322848 | 2020-03-26 | 2020-03-26 | 188 VALLEY ST STE 201, PROVIDENCE, RI, 029092468, US | 188 VALLEY ST STE 201, PROVIDENCE, RI, 029092468, US | |||||||||||||
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| Phone | +1 401-648-6200 |
Authorized person
| Name | DENNIS P. MIHALE |
| Role | CEO |
| Phone | 8134946987 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UPWARD HEALTH OF RHODE ISLAND PC 401(K) PLAN | 2023 | 850537497 | 2024-07-03 | UPWARD HEALTH OF RHODE ISLAND PC | 35 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-02 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8889855455 |
| Plan sponsor’s address | 188 VALLEY STREET, SUITE 201, PROVIDENCE, RI, 02909 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-28 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| UPWARD HEALTH SOLUTIONS RHODE ISLAND ADMINISTRATION LLC | Agent | 188 VALLEY STREET SUITE 201, PROVIDENCE, RI, 02909, USA |
| Name | Role | Address |
|---|---|---|
| DENNIS MIHALE | DIRECTOR | 8995 BENSALEM DR. JACKSONVILLE, FL 32257 USA |
| Number | Name | File Date |
|---|---|---|
| 202448980810 | Annual Report | 2024-03-20 |
| 202337952380 | Annual Report | 2023-06-16 |
| 202337952470 | Annual Report | 2023-06-16 |
| 202337952100 | Reinstatement | 2023-06-16 |
| 202223969340 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202220246750 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202196215390 | Annual Report | 2021-05-05 |
| 202059204970 | Annual Report | 2020-09-29 |
| 202036733550 | Articles of Incorporation | 2020-03-24 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
