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MediTelecare of Rhode Island, LLC

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Company Details

Name: MediTelecare of Rhode Island, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 13 Apr 2021 (4 years ago)
Identification Number: 001722213
Purpose: TELEHEALTH PROVIDER IN SKILLED NURSING FACILITIES
Principal Address: Google Maps Logo 213 COURT STREET 6TH FLOOR, MIDDLETOWN, CT, 06457, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, 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 psychiatry or psychoanalysis. 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

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

Manager

Name Role Address
STEVEN W. POWELL, M.D. Manager 213 COURT STREET, 6TH FLOOR MIDDLETOWN, CT 06457 USA

National Provider Identifier

NPI Number:
1801477963
Certification Date:
2025-05-05

Authorized Person:

Name:
ANDREA GODFREY
Role:
CREDENTIALING & ENROLLMENT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No

Contacts:

Fax:
8608290495

Filings

Number Name File Date
202342858170 Annual Report 2023-11-21
202342858350 Annual Report 2023-11-21
202342858530 Annual Report 2023-11-21
202342857920 Reinstatement 2023-11-21
202223663220 Revocation Certificate For Failure to File the Annual Report for the Year 2022-10-11

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Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State