| 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 Practitioners |
| 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 | |||||||||||||||||||
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| 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
