| 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 Centers |
| 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
