| Entity Name: | PROHEALTH PHYSICIANS ACO, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 11 Jun 2012 |
| Business ALEI: | 1074384 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524114 - Direct Health and Medical Insurance Carriers |
| Business address: | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States |
| Mailing address: | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, United States, 06032 |
| ZIP code: | 06032 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM |
| Name | Role |
|---|---|
| PROHEALTH PHYSICIANS ACO, LLC | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Stuart E. Herlands, M.D. | Officer | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States |
| David A. Pazer, M.D. | Officer | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States |
| Timothy J. Buckley, D.O. | Officer | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States |
| Carlos R. Valentin, M.D. | Officer | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States |
| Gregory Michael Smith, Ph.D. | Officer | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States | 3 FARM GLEN BOULEVARD, FARMINGTON, CT, 06032, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012193234 | 2024-03-03 | No data | Annual Report | Annual Report | No data |
| BF-0011432907 | 2023-02-13 | No data | Annual Report | Annual Report | No data |
| BF-0010274794 | 2022-03-25 | No data | Annual Report | Annual Report | 2022 |
| 0007256905 | 2021-03-24 | No data | Annual Report | Annual Report | 2021 |
| 0006747122 | 2020-02-08 | No data | Annual Report | Annual Report | 2020 |
| 0006356275 | 2019-02-02 | No data | Annual Report | Annual Report | 2019 |
| 0006093738 | 2018-02-23 | No data | Annual Report | Annual Report | 2018 |
| 0005835094 | 2017-05-05 | No data | Annual Report | Annual Report | 2017 |
| 0005601336 | 2016-06-17 | 2016-06-17 | Change of Agent | Agent Change | No data |
| 0005560633 | 2016-05-10 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
