| 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 Practitioners |
| 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
