| Name: | Primary and Psychiatric Integrated Care, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Jul 2020 (5 years ago) |
| Date of Dissolution: | 12 Sep 2023 (a year ago) |
| Date of Status Change: | 12 Sep 2023 (a year ago) |
| Identification Number: | 001709448 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 5 ROGLER FARM ROAD, SMITHFIELD, RI, 02917, USA |
| Purpose: | APRN CNP FAMILY INDIVIDUAL LIFESPAN PSYCHIATRIC MEDICATION MANAGEMENT |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508483694 | 2020-07-06 | 2021-12-16 | 215 LEGRIS AVE, WEST WARWICK, RI, 028932937, US | 215 LEGRIS AVE, WEST WARWICK, RI, 028932937, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-234-6685 |
| Fax | 4012509703 |
Authorized person
| Name | HOLLIE ANN COLUCCI |
| Role | CEO |
| Phone | 4012346685 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL COLUCCI | Agent | 16 ANN DRIVE, JOHNSTON, RI, 02919, USA |
| Name | Role | Address |
|---|---|---|
| HOLLIE A COLUCCI | CEO | 5 ROGLER FARM ROAD SMITHFIELD, RI 02917 USA |
| Number | Name | File Date |
|---|---|---|
| 202341540850 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202338217910 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202331890660 | Statement of Change of Registered/Resident Agent | 2023-03-28 |
| 202330849290 | Revocation Notice For Failure to Maintain a Registered Agent | 2023-03-15 |
| 202327082260 | Agent Resigned | 2023-01-31 |
| 202221305960 | Annual Report | 2022-07-15 |
| 202220252760 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202184855320 | Annual Report | 2021-01-07 |
| 202044051040 | Articles of Incorporation | 2020-07-02 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
