| Name: | HOSA HEALTH AND WELLNESS CENTER LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Nov 2021 (3 years ago) |
| Identification Number: | 001731493 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 867 PARK AVENUE, WOONSOCKET, RI, 02895, USA |
| Purpose: | THIS IS A PRIMARY CARE OFFICE WHERE ACUTE, CHRONIC CARE, AND OUTPATIENT PSYCHIATRIC SERVICES WILL BE PROVIDED. |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326721317 | 2023-08-08 | 2023-08-08 | 867 PARK AVE, WOONSOCKET, RI, 028955872, US | 867 PARK AVE, WOONSOCKET, RI, 028955872, US | |||||||||||||
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| Phone | +1 401-633-2577 |
Authorized person
| Name | MARIAN E IDAHOSA |
| Role | OWNER NP |
| Phone | 4016332577 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARIAN IDAHOSA | Agent | 867 PARK AVENUE, WOONSOCKET, RI, 02895, USA |
| Number | Name | File Date |
|---|---|---|
| 202453433110 | Annual Report | 2024-04-30 |
| 202329973160 | Annual Report | 2023-03-07 |
| 202221017430 | Annual Report | 2022-07-11 |
| 202218781760 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202104459090 | Articles of Organization | 2021-11-01 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
