| Name: | Novella Healthcare Services, PLLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Mar 2024 (a year ago) |
| Identification Number: | 001770320 |
| Place of Formation: | PENNSYLVANIA |
| Principal Address: | 1111B S. GOVERNORS AVENUE SUITE 3887, DOVER, DE, 19904, USA |
| Purpose: | TO PROVIDE MEDICAL INFUSION SERVICES |
| Fictitious names: |
Novella Infusion (trading name, 2024-04-02 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619724481 | 2024-05-01 | 2024-09-06 | 1111B S GOVERNORS AVE STE 3887, DOVER, DE, 199046903, US | 10 DORRANCE ST STE 700, PROVIDENCE, RI, 029032014, US | |||||||||||||||
|
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| Phone | +1 802-397-9366 |
| Fax | 6035701470 |
Authorized person
| Name | JOSEPH BRUNINK |
| Role | CEO |
| Phone | 6038369869 |
Taxonomy
| 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 |
|---|---|---|
| ANDREW WAGNER | Manager | 1111B S. GOVERNORS AVENUE, SUITE 3887 DOVER, DE 19904 USA |
| Number | Name | File Date |
|---|---|---|
| 202454109050 | Amendment to Application for Registration | 2024-05-09 |
| 202450006830 | Fictitious Business Name Statement | 2024-04-02 |
| 202447726950 | Application for Registration | 2024-03-01 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
