| Entity Name: | NORTH HAVEN SURGERY CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 23 Mar 2005 (Companies founded in March 2005) |
| Business ALEI: | 0815519 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 52 Washington AVe., North Haven, CT, 06473, United States |
| Mailing address: | 14201 DALLAS PARKWAY, DALLAS, TX, United States, 75254 |
| ZIP code: | 06473 (Companies in New Haven, 06473) |
| County: | New Haven |
| Place of Formation: | TEXAS |
| E-Mail: | ksims@uspi.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH HAVEN SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST | 2011 | 770656233 | 2012-07-30 | NORTH HAVEN SURGERY CENTER LLC | 29 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 770656233 |
| Plan administrator’s name | NORTH HAVEN SURGERY CENTER LLC |
| Plan administrator’s address | 15305 DALLAS PARKWAY, SUITE 1600, ADDISON, TX, 75001 |
| Administrator’s telephone number | 9727133539 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-30 |
| Name of individual signing | JOHN WELLIK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| TITAN HEALTH OF NORTH HAVEN, INC. | Officer | 14201 Dallas Pkwy, Dallas, TX, 75254-2916, United States | No data |
| MARK A. THIMINEUR | Officer | 130 DIVISION STREET, DERBY, CT, 06418, United States | 304 LONGMEADOW ROAD, ORANGE, CT, 06477, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0058715-FAC | CONTROLLED SUBSTANCE REGISTRATION FOR CLINICS AND OTHER FACILITIES | ACTIVE | CURRENT | 2014-09-30 | 2023-03-04 | 2025-02-28 |
| ASC.0000306 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2009-04-01 | 2023-04-01 | 2025-03-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | NORTH HAVEN PAIN MEDICINE CENTER, LLC | NORTH HAVEN SURGERY CENTER, LLC | 2009-12-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012130800 | 2024-04-01 | No data | Annual Report | Annual Report | No data |
| BF-0011168260 | 2023-03-02 | No data | Annual Report | Annual Report | No data |
| BF-0010248072 | 2022-03-26 | No data | Annual Report | Annual Report | 2022 |
| 0007282684 | 2021-04-05 | No data | Annual Report | Annual Report | 2021 |
| 0006847557 | 2020-03-24 | No data | Annual Report | Annual Report | 2020 |
| 0006501055 | 2019-03-27 | No data | Annual Report | Annual Report | 2019 |
| 0006044456 | 2018-01-30 | No data | Annual Report | Annual Report | 2018 |
| 0005786316 | 2017-03-07 | No data | Annual Report | Annual Report | 2017 |
| 0005674792 | 2016-10-17 | No data | Annual Report | Annual Report | 2016 |
| 0005293420 | 2015-03-09 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
