| Name: | AccentCare Medical Group of Rhode Island, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 17 Jul 2023 (2 years ago) |
| Identification Number: | 001760483 |
| Principal Address: | 17855 NORTH DALLAS PARKWAY SUITE 200, DALLAS, TX, 75287, USA |
| Purpose: | MEDICINE |
NAICS
621610 Home Health Care ServicesThis industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467296228 | 2024-06-25 | 2024-06-25 | 6400 SHAFER CT STE 300A, ROSEMONT, IL, 600184914, US | 300 CENTERVILLE RD STE 210, WARWICK, RI, 028860200, US | |||||||||||||||||
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| Phone | +1 401-200-8211 |
Authorized person
| Name | CARRIE BILL |
| Role | VP REIMBURSEMENT |
| Phone | 8476921148 |
Taxonomy
| Taxonomy Code | 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| BALAKRISHNAN NATARJAN MD | PRESIDENT | 17855 NORTH DALLAS PARKWAY SUITE 200 DALLAS, TX 75287 USA |
| Name | Role | Address |
|---|---|---|
| BALAKRISHNAN NATARJAN MD | TREASURER | 17855 NORTH DALLAS PARKWAY SUITE 200 DALLAS, TX 75287 USA |
| Name | Role | Address |
|---|---|---|
| BALAKRISHNAN NATARJAN MD | SECRETARY | 17855 NORTH DALLAS PARKWAY SUITE 200 DALLAS, TX 75287 USA |
| Name | Role | Address |
|---|---|---|
| BALAKRISHNAN NATARJAN MD | DIRECTOR | 17855 NORTH DALLAS PARKWAY SUITE 200 DALLAS, TX 75287 USA |
| Number | Name | File Date |
|---|---|---|
| 202452351370 | Annual Report | 2024-04-24 |
| 202339583230 | Articles of Incorporation | 2023-07-17 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
