| 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 |
| Principal Address: | 1526 ATWOOD AVENUE SUITE 202, JOHNSTON, RI, 02919, USA |
| Purpose: | PEDIATRIC OUTPATIENT OCCUPATIONAL AND SPEECH THERAPY SERVICES FOR AGES 2-21 |
NAICS
621498 All Other Outpatient Care CentersThis 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770244774 | 2022-01-03 | 2022-01-03 | 1445 WAMPANOAG TRL STE 108A, RIVERSIDE, RI, 029151000, US | 1445 WAMPANOAG TRL STE 108A, RIVERSIDE, RI, 029151000, US | |||||||||||||||
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| Phone | +1 401-489-4001 |
| Phone | +1 401-642-8080 |
Authorized person
| Name | MRS. ASHLEY TILLINGHAST |
| Role | OWNER/OTR/L |
| Phone | 4014894001 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC. | Agent | 47 WOOD AVE. STE 2, BARRINGTON, RI, 02806, USA |
| 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 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
