Name: | HealthAdvisors LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 17 Jan 2024 (a year ago) |
Identification Number: | 001767984 |
ZIP code: | 02865 |
County: | Providence County |
Principal Address: | 6 BLACKSTONE VALLEY PLACE SUITE 502, LINCOLN, RI, 02865, USA |
Fictitious names: |
Breakwater Primary Care (trading name, 2024-02-16 - ) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598528671 | 2024-02-01 | 2024-02-01 | 6 BLACKSTONE VALLEY PL STE 502, LINCOLN, RI, 028651102, US | 6 BLACKSTONE VALLEY PL STE 502, LINCOLN, RI, 028651102, US | |||||||||||||||||
|
Phone | +1 401-334-6250 |
Authorized person
Name | DR. GREGORY STEINMETZ |
Role | MBR |
Phone | 4012265967 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - 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 |
---|---|---|
GREG STEINMETZ, M.D. | MANAGER | 857 POST ROAD WARWICK, RI 02888 USA |
HUGO YAMADA, M.D. | MANAGER | 6 BLACKSTONE VALLEY PLACE, SUITE 502 LINCOLN, RI 02865 USA |
Number | Name | File Date |
---|---|---|
202446643410 | Fictitious Business Name Statement | 2024-02-16 |
202444120210 | Articles of Organization | 2024-01-17 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State