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A Pediatric Evolution LLC

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Company Details

Name: A Pediatric Evolution LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 13 Dec 2021 (3 years ago)
Identification Number: 001733110
ZIP code: 02919
County: Providence County
Purpose: PEDIATRIC OUTPATIENT OCCUPATIONAL AND SPEECH THERAPY SERVICES FOR AGES 2-21
Principal Address: Google Maps Logo 1526 ATWOOD AVENUE SUITE 202, JOHNSTON, RI, 02919, USA

Industry & Business Activity

NAICS

621498 All Other Outpatient Care Centers

This U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau

Agent

Name Role Address
REGISTERED AGENTS INC Agent 700 NARRAGANSETT PARK DR STE 100, PAWTUCKET, RI, 02861, USA

National Provider Identifier

NPI Number:
1770244774
Certification Date:
2022-01-03

Authorized Person:

Name:
MRS. ASHLEY TILLINGHAST
Role:
OWNER/OTR/L
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202458893360 Annual Report 2024-08-16
202456152090 Revocation Notice For Failure to File An Annual Report 2024-06-18
202329385170 Annual Report 2023-02-27
202209618950 Annual Report 2022-02-07
202107036540 Articles of Organization 2021-12-13

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Date of last update: 05 Jun 2025

Sources: Rhode Island Department of State