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Emmanuel Medical Services LLC

Company Details

Name: Emmanuel Medical Services LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 21 Sep 2022 (3 years ago)
Identification Number: 001746368
ZIP code: 02903
County: Providence County
Purpose: MEDICAL PRACTIONER, PATIENT'S HOME VISITS, MENTAL HEALTH SERVICES
Historical names: Emmanuel Medical LLC.
Principal Address: Google Maps Logo 10 DORRANCE STREET SUITE 700, PROVIDENCE, RI, 02903, USA
Mailing Address: Google Maps Logo 1417 DOUGLAS AVE, NORTH PROVIDENCE, RI, 02904, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, 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 psychiatry or psychoanalysis. 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

Agent

Name Role Address
DR. ADEBOLA ADELAIYE Agent 10 DORRANCE STREET SUITE 700, PROVIDENCE, RI, 02903, USA

MANAGER

Name Role Address
AMOS ADELAIYE MANAGER 20 SYLVIA LN LINCOLN, RI 02865 USA
ADEBOLA ADELAIYE MANAGER 20 SYLVIA LN LINCOLN, RI 02865 USA

National Provider Identifier

NPI Number:
1861274813
Certification Date:
2023-10-16

Authorized Person:

Name:
AMOS ADELAIYE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4014150418

Events

Type Date Old Value New Value
Name Change 2022-12-13 Emmanuel Medical LLC. Emmanuel Medical Services LLC

Filings

Number Name File Date
202453451330 Annual Report 2024-04-30
202339347300 Annual Report 2023-07-11
202337593240 Revocation Notice For Failure to File An Annual Report 2023-06-16
202225168930 Articles of Amendment 2022-12-13
202222924250 Articles of Organization 2022-09-21

Date of last update: 15 May 2025

Sources: Rhode Island Department of State