| Entity Name: | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 25 Mar 1996 |
| Business ALEI: | 0533331 |
| Annual report due: | 25 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 114 WOODLAND STREET LEGAL AFFAIRS, HARTFORD, CT, 06105, United States |
| Mailing address: | 114 WOODLAND ST., LEGAL AFFAIRS, HARTFORD, CT, United States, 06105 |
| ZIP code: | 06105 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | LEGALDEPARTMENT@TRINITYHEALTHOFNE.ORG |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SYED HUSSAIN MD | Director | 1000 ASYLUM AVENUE, HARTFORD, CT, 06105, United States | 299 LOLT HIGHWAY, APT 138, FARMINGTON, CT, 06032, United States |
| ROBERT ELLIS CPA | Director | No data | 14 SCARBOROUGH ROAD, SIMSBURY, CT, 06070, United States |
| Irina Magidina | Director | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States |
| Karthik Gunachelvan | Director | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States |
| Mark Kent | Director | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States |
| VIRIATO FIALLO MD | Director | 271 CAREW STREET, SPRINGFIELD, MA, 01104, United States | 25 CRESTVIEW ROAD, EAST LONGMEADOW, MA, 01028, United States |
| DEBORAH BITSOLI | Director | 271 Carew St, Springfield, MA, 01104-2377, United States | 271 Carew St, Springfield, MA, 01104-2377, United States |
| STEPHANIE MONTGOMERY-IDEMA MD | Director | 114 WOODLAND STREET, HARTFORD, CT, 06105, United States | 10 PONDSIDE LANE, WEST SIMSBURY, CT, 06092, United States |
| MARY MARLOWE APRN | Director | 1000 ASYLUM AVENUE, HARTFORD, CT, 06105, United States | 106 NORTH SADDLE RIDGE DRIVE, WEST SIMSBURY, CT, 06092, United States |
| Shady Macaron | Director | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States | 76 Gleneagle Rd, Middlebury, CT, 06762-1728, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROBERT J. ANTHONY, JD, MPH | Officer | 114 Woodland St, Hartford, CT, 06105, United States | 114 Woodland St, Hartford, CT, 06105, United States |
| DEBORAH BITSOLI | Officer | 271 Carew St, Springfield, MA, 01104-2377, United States | 271 Carew St, Springfield, MA, 01104-2377, United States |
| Mark S. Albini, MD | Officer | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | TRINITY HEALTH - NEW ENGLAND PHYSICIAN NETWORK ORGANIZATION, INC. | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION, INC. | 2017-07-21 |
| Name change | SAINT FRANCIS MEDICAL GROUP, INC. | TRINITY HEALTH - NEW ENGLAND PHYSICIAN NETWORK ORGANIZATION, INC. | 2017-01-24 |
| Name change | WOODLAND PHYSICIAN ASSOCIATES, INC. | SAINT FRANCIS MEDICAL GROUP, INC. | 2009-02-20 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012293036 | 2024-06-05 | No data | Annual Report | Annual Report | No data |
| BF-0011258139 | 2023-03-24 | No data | Annual Report | Annual Report | No data |
| BF-0010256243 | 2022-02-24 | No data | Annual Report | Annual Report | 2022 |
| 0007201517 | 2021-03-03 | No data | Annual Report | Annual Report | 2021 |
| 0006806829 | 2020-03-03 | No data | Annual Report | Annual Report | 2020 |
| 0006645556 | 2019-09-17 | No data | Interim Notice | Interim Notice | No data |
| 0006468504 | 2019-03-15 | No data | Annual Report | Annual Report | 2019 |
| 0006297653 | 2018-12-21 | 2019-01-01 | Amendment | Restated | No data |
| 0006126887 | 2018-03-16 | No data | Annual Report | Annual Report | 2018 |
| 0005893528 | 2017-07-21 | 2017-07-21 | Amendment | Amend Name | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
