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CODAC HEALTHCARE, LLC

Company Details

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
Purpose: MEDICAL TREATMENT FOR SUBSTANCE ABUSE
Principal Address: Google Maps Logo 1052 PARK AVENUE, CRANSTON, RI, 02910, USA

Industry & Business Activity

NAICS

621420 Outpatient Mental Health and Substance Abuse Centers

This industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Learn more at the U.S. Census Bureau

Agent

Name Role Address
STEPHEN F. DEL SESTO, ESQ. Agent ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1447944111
Certification Date:
2023-06-06

Authorized Person:

Name:
MS. ALISHA BOURDEAU
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4019423590
Fax:
4019461550

Filings

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

Date of last update: 14 May 2025

Sources: Rhode Island Department of State