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Purple Shield Medical, LLC

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Company Details

Name: Purple Shield Medical, LLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Cancelled
Date of Organization in Rhode Island: 29 Oct 2020 (5 years ago)
Date of Dissolution: 01 Dec 2023 (2 years ago)
Date of Status Change: 01 Dec 2023 (2 years ago)
Identification Number: 001714609
ZIP code: 02886
County: Kent County
Place of Formation: MASSACHUSETTS
Purpose: PROVIDE TRAINING TESTING AND ACCREDIDATION FOR INFECTIOUS DISEASE CONTROL. MEDICAL SOLUTIONS COMPANY
Historical names: Purple Shield LLC
Principal Address: Google Maps Logo 3649 POST RD, WARWICK, RI, 02886, USA
Mailing Address: Google Maps Logo 107 SONNYS WAY CEDAR, DIGHTON, MA, 02715, USA

Industry & Business Activity

NAICS

621999 All Other Miscellaneous Ambulatory Health Care Services

This U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). Learn more at the U.S. Census Bureau

Agent

Name Role Address
DANIEL ABRAHAM Agent 518 RIVERSIDE DR, TIVERTON, RI, 02878, USA

National Provider Identifier

NPI Number:
1801487491
Certification Date:
2022-03-07

Authorized Person:

Name:
MR. JOSEPH MOSS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2083P0901X - Public Health & General Preventive Medicine Physician
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
5086759920

Form 5500 Series

Employer Identification Number (EIN):
854135226
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 2021-01-06 Purple Shield LLC Purple Shield Medical, LLC

Filings

Number Name File Date
202343132350 Certificate of Cancellation 2023-12-01
202339065510 Annual Report 2023-07-05
202337014240 Revocation Notice For Failure to File An Annual Report 2023-06-16
202212435920 Annual Report 2022-03-08
202197803190 Amendment to Application for Registration 2021-06-04

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Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State