| Name: | CODAC HEALTHCARE, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 May 2021 (4 years ago) |
| Identification Number: | 001723769 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 1052 PARK AVENUE, CRANSTON, RI, 02910, USA |
| Purpose: | MEDICAL TREATMENT FOR SUBSTANCE ABUSE |
| NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447944111 | 2023-06-06 | 2023-06-06 | 1052 PARK AVE, CRANSTON, RI, 029103225, US | 349 HUNTINGTON AVE, PROVIDENCE, RI, 029093005, US | |||||||||||||||||||
|
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| Phone | +1 401-275-5038 |
| Fax | 4019423590 |
| Phone | +1 401-942-1450 |
| Fax | 4019461550 |
Authorized person
| Name | MS. ALISHA BOURDEAU |
| Role | CFO |
| Phone | 4012755038 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHEN F. DEL SESTO, ESQ. | Agent | ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202449167210 | Annual Report | 2024-03-22 |
| 202330418540 | Annual Report | 2023-03-10 |
| 202328242870 | Statement of Change of Registered/Resident Agent Office | 2023-02-13 |
| 202222451800 | Annual Report | 2022-08-25 |
| 202221121740 | Statement of Change of Registered/Resident Agent | 2022-07-11 |
| 202218871470 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202104908020 | Articles of Amendment | 2021-11-10 |
| 202196491000 | Articles of Organization | 2021-05-12 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
