| Name: | New Schryver, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 07 Oct 2021 (4 years ago) |
| Date of Dissolution: | 11 Oct 2022 (3 years ago) |
| Date of Status Change: | 11 Oct 2022 (3 years ago) |
| Identification Number: | 001730472 |
| Place of Formation: | DELAWARE |
| Principal Address: | 930 RIDGEBROOK ROAD, SPARKS, MD, 21152, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255904884 | 2021-07-21 | 2021-07-21 | 930 RIDGEBROOK RD, SPARKS, MD, 211529481, US | 1206 HARTFORD AVE, JOHNSTON, RI, 029197131, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 303-371-0073 |
| Phone | +1 800-786-8015 |
Authorized person
| Name | SHAWNA FLETCHER |
| Role | PROVIDER ENROLLMENT COORDINATOR |
| Phone | 3033710073 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| DAVID VELEZ | MANAGER | 101 ROCK ROAD HORSHAM, PA 19044-2310 USA |
| Number | Name | File Date |
|---|---|---|
| 202223800120 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-11 |
| 202219755210 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202102877300 | Application for Registration | 2021-10-07 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
