| Entity Name: | HARTFORD HEALTHCARE MEDICAL GROUP, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 17 Jan 2012 |
| Business ALEI: | 1059384 |
| Annual report due: | 17 Jan 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 1290 SILAS DEANE HIGHWAY 2ND FLOOR, WETHERSFIELD, CT, 06109, United States |
| Mailing address: | 1290 SILAS DEANE HIGHWAY 2ND FLOOR, WETHERSFIELD, CT, United States, 06109 |
| ZIP code: | 06109 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | Legal.Support@hhchealth.org |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Padmanabhan Premkumar | Officer | 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States | 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States |
| JEFF COHEN | Officer | 100 Pearl St., 2nd Floor, HARTFORD, CT, 06103, United States | 129 WEST HAVILAND LANE, STAMFORD, CT, 06903, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Padmanabhan Premkumar | Director | 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States | 100 Pearl St., 2nd Floor, Hartford, CT, 06103, United States |
| JEFF COHEN | Director | 100 Pearl St., 2nd Floor, HARTFORD, CT, 06103, United States | 129 WEST HAVILAND LANE, STAMFORD, CT, 06903, United States |
| Cara Riddle, DO | Director | 100 Pearl St., 2nd Fl., Hartford, CT, 06103, United States | 100 Pearl St., 2nd Fl., Hartford, CT, 06103, United States |
| MICHAEL DAGLIO | Director | 100 Pearl St., 2nd Floor, HARTFORD, CT, 06103, United States | 100 Pearl St., 2nd Floor, HARTFORD, CT, 06103, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0001031 | Clinical Laboratory | CLOSED | CLOSED | 2021-06-28 | 2021-06-28 | 2022-08-07 |
| CLAB.0001039 | Clinical Laboratory | CLOSED | CLOSED | 2021-01-11 | 2021-01-11 | 2023-03-31 |
| CLAB.0001015 | Clinical Laboratory | CLOSED | CLOSED | 2020-03-02 | 2020-03-02 | 2022-03-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | HHC PHYSICIANSCARE, INC. | HARTFORD HEATHCARE MEDICAL GROUP, INC. | 2017-10-03 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012194044 | 2024-01-05 | No data | Annual Report | Annual Report | No data |
| BF-0011435173 | 2023-01-03 | No data | Annual Report | Annual Report | No data |
| BF-0010476517 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| BF-0010173525 | 2022-01-13 | No data | Annual Report | Annual Report | 2022 |
| 0007087642 | 2021-01-29 | No data | Annual Report | Annual Report | 2021 |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006880318 | 2020-04-09 | No data | Annual Report | Annual Report | 2020 |
| 0006853252 | 2020-03-27 | 2020-03-27 | Change of Agent | Agent Change | No data |
| 0006323726 | 2019-01-17 | No data | Annual Report | Annual Report | 2019 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
