Name: | ICAN LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 05 Jan 2023 (2 years ago) |
Identification Number: | 001750640 |
ZIP code: | 02908 |
County: | Providence County |
Principal Address: | 26 NAPLES AVENUE, PROVIDENCE, RI, 02908, USA |
Mailing Address: | 26 NAPLES AVE, PROVIDENCE, RI, 02908, USA |
Purpose: | PSYCHIATRY |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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 | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578248357 | 2023-06-19 | 2023-06-19 | 26 NAPLES AVE, PROVIDENCE, RI, 029081222, US | 26 NAPLES AVE, PROVIDENCE, RI, 029081222, US | |||||||||||||||||||
|
Phone | +1 401-487-8298 |
Fax | 4012740923 |
Authorized person
Name | MRS. BARBARA FORLONEY |
Role | PRESIDENT |
Phone | 4013236237 |
Taxonomy
Taxonomy Code | 364SP0809X - Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Is Primary | Yes |
Taxonomy Code | 364SP0813X - Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
Is Primary | No |
Name | Role | Address |
---|---|---|
BARBARA FORLONEY | Agent | 26 NAPLES AVENUE, PROVIDENCE, RI, 02908, USA |
Number | Name | File Date |
---|---|---|
202453614140 | Annual Report | 2024-05-01 |
202325671420 | Articles of Organization | 2023-01-05 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State