| Entity Name: | SHORELINE MEDICAL CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 06 Nov 2000 |
| Date of dissolution: | 31 Dec 2022 |
| Business ALEI: | 0665351 |
| NAICS code: | 531390 - Other Activities Related to Real Estate |
| Business address: | 22 BILLOW ROAD, OLD LYME, CT, 06371, United States |
| Mailing address: | 22 BILLOW ROAD, OLD LYME, CT, United States, 06371 |
| ZIP code: | 06371 |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| E-Mail: | dinesh.govil@gmail.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| DINESH GOVIL | Agent | 22 BILLOW ROAD, OLD LYME, CT, 06371, United States | 22 BILLOW ROAD, OLD LYME, CT, 06371, United States | +1 860-304-2901 | dinesh.govil@gmail.com | 22 BILLOW ROAD, OLD LYME, CT, 06371, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SARAH R DONAHUE | Officer | 391 GIRARD STREET, SAN FRANCISCO, CA, 94134, United States | 391 GIRARD STREET, SAN FRANCISCO, CA, 94134, United States |
| MITHLESH GOVIL | Officer | MITHLESH GOVIL, 22 BILLOW ROAD, CT, 06371, United States | MITHLESH GOVIL, 22 BILLOW ROAD, CT, 06371, United States |
| CHRISTOPHER A GOVIL | Officer | 22 Billow Road, OLD LYME, CT, 06371, United States | 22 Billow Road, OLD LYME, CT, 06371, United States |
| DINESH C. GOVIL | Officer | 22 BILLOW ROAD, OLD LYME, CT, 06371, United States | 22 BILLOW ROAD, OLD LYME, CT, 06371, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0051668-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | ACTIVE | CURRENT | 2011-11-17 | 2023-03-01 | 2025-02-28 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011398800 | 2023-01-14 | No data | Annual Report | Annual Report | No data |
| BF-0011331524 | 2022-11-29 | 2022-12-31 | Dissolution | Certificate of Dissolution | No data |
| BF-0010283813 | 2022-03-02 | No data | Annual Report | Annual Report | 2022 |
| 0007103617 | 2021-02-01 | No data | Annual Report | Annual Report | 2021 |
| 0006774262 | 2020-02-24 | No data | Annual Report | Annual Report | 2020 |
| 0006644603 | 2019-09-16 | 2019-09-16 | Interim Notice | Interim Notice | No data |
| 0006644399 | 2019-09-14 | 2019-09-14 | Change of Agent Address | Agent Address Change | No data |
| 0006316602 | 2019-01-10 | No data | Annual Report | Annual Report | 2019 |
| 0006051227 | 2018-02-01 | No data | Annual Report | Annual Report | 2018 |
| 0005946535 | 2017-10-16 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
