| Name: | Green Line Express LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Aug 2020 (5 years ago) |
| Identification Number: | 001711945 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 245 MAIN STREET, WAKEFIELD, RI, 02879, USA |
| Mailing Address: | 245 MAIN ST, WAKEFIELD, RI, 02879, USA |
| Purpose: | AMBULATORY HEALTH CARE SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043989288 | 2021-09-10 | 2021-09-10 | 245 MAIN ST, WAKEFIELD, RI, 028793527, US | 245 MAIN ST, WAKEFIELD, RI, 028793527, US | |||||||||||||||||||
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| Phone | +1 401-360-3500 |
Authorized person
| Name | CHRISTINA PROCACCIANTI |
| Role | FACILITY ADMINISTRATOR |
| Phone | 4013603200 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AMBULATORY CARE FACILITY LICENSE |
| Number | 01645 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| KENNETH PROCACCIANTI | Agent | 245 MAIN STREET, WAKEFIELD, RI, 02879, USA |
| Number | Name | File Date |
|---|---|---|
| 202449287620 | Annual Report | 2024-03-25 |
| 202327440420 | Annual Report | 2023-02-03 |
| 202220808390 | Annual Report | 2022-07-07 |
| 202219342050 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202101690540 | Annual Report | 2021-09-17 |
| 202101690090 | Statement of Change of Registered/Resident Agent Office | 2021-09-17 |
| 202049770540 | Articles of Organization | 2020-08-25 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
