| Name: | FAITHworks Health and Wellness Institute |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Jun 2022 (3 years ago) |
| Identification Number: | 001743600 |
| ZIP code: | 02863 |
| County: | Providence County |
| Principal Address: | 112 WASHINGTON STREET, CENTRAL FALLS, RI, 02863, USA |
| Purpose: | OPERATING A NONPROFIT MEDICAL PRACTICE |
| NAICS: | 622110 - General Medical and Surgical Hospitals |
| Fictitious names: |
SMART FAITHworks (trading name, 2022-07-20 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033849096 | 2022-06-13 | 2022-06-13 | 144 MOUNT VERNON DR, MONROEVILLE, PA, 151464854, US | 112 WASHINGTON ST, CENTRAL FALLS, RI, 028632232, US | |||||||||||||||
|
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| Phone | +1 412-901-6275 |
| Phone | +1 401-585-3447 |
Authorized person
| Name | DR. CHRISTOPHER T CONTI |
| Role | MEDICAL DIRECTOR |
| Phone | 4129016275 |
Taxonomy
| Taxonomy Code | 261QS1000X - Student Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER TRACY CONTI | PRESIDENT | 144 MOUNT VERNON DRIVE MONROEVILLE, PA 15146 USA |
| Number | Name | File Date |
|---|---|---|
| 202453269160 | Annual Report | 2024-04-30 |
| 202327313850 | Annual Report | 2023-02-02 |
| 202221500680 | Fictitious Business Name Statement | 2022-07-20 |
| 202221541700 | Application for Certificate of Authority | 2022-07-20 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
