Name: | WOUND PROS RHODE ISLAND Inc |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 08 Jun 2022 (3 years ago) |
Date of Dissolution: | 17 Sep 2024 (8 months ago) |
Date of Status Change: | 17 Sep 2024 (8 months ago) |
Identification Number: | 001741677 |
Principal Address: | 4640 ADMIRALTY WAY SUITE 500, MARINA DEL REY, CA, 90292, USA |
Purpose: | WOUND CARE |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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 | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497487169 | 2022-06-30 | 2022-06-30 | 4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA, 902926636, US | 10 DORRANCE ST STE 700, PROVIDENCE, RI, 029032014, US | |||||||||||||||||||
|
Phone | +1 818-836-2475 |
Phone | +1 888-880-3451 |
Authorized person
Name | DR. CHRISTOPHER AYODELE OTIKO |
Role | PRESIDENT |
Phone | 8888803451 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Name | Role | Address |
---|---|---|
LEGALCORP SOLUTIONS, LLC | Agent | 3970 POST ROAD, WARWICK, RI, 02886, USA |
Name | Role | Address |
---|---|---|
CHRIS OTIKO | PRESIDENT | 4640 ADMIRALTY WAY SUITE 500 MARINA DEL REY, CA 90292 USA |
Name | Role | Address |
---|---|---|
CHRIS OTIKO | TREASURER | 4640 ADMIRALTY WAY SUITE 500 MARINA DEL REY, CA 90292 USA |
Name | Role | Address |
---|---|---|
JEROME CANNON | SECRETARY | 4640 ADMIRALTY WAY SUITE 500 MARINA DEL REY, CA 90292 USA |
Name | Role | Address |
---|---|---|
DANIEL YEAGER | VICE PRESIDENT | 4640 ADMIRALTY WAY SUITE 500 MARINA DEL REY, CA 90292 USA |
Name | Role | Address |
---|---|---|
CHRIS OTIKO | DIRECTOR | 4640 ADMIRALTY WAY SUITE 500 MARINA DEL REY, CA 90292 USA |
Number | Name | File Date |
---|---|---|
202459606040 | Revocation Certificate For Failure to File the Annual Report for the Year | 2024-09-17 |
202457306320 | Revocation Notice For Failure to File An Annual Report | 2024-06-25 |
202339124000 | Annual Report | 2023-07-06 |
202338294100 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
202218400210 | Articles of Incorporation | 2022-06-08 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State