| Entity Name: | PAIN MANAGEMENT PARTNERS, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 04 Nov 2019 |
| Business ALEI: | 1326344 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 1320 West Main Street Bldg. 2 Unit 5, WATERBURY, CT, 06708, United States |
| Mailing address: | 7 Old Sherman Turnpike STE 209, Danbury, CT, United States, 06811 |
| ZIP code: | 06708 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | linus1206@mac.com |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FNFYGFNJ3796 | 2024-08-06 | 1320 W MAIN ST, STE 5, WATERBURY, CT, 06708, 3119, USA | 7 OLD SHERMAN TURNPIKE SUITE 209, DANBURY, CT, 06810, USA | |||||||||||||||||||||||||||||||||||||||
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| Congressional District | 05 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-08-09 |
| Initial Registration Date | 2023-08-07 |
| Entity Start Date | 2020-04-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MINDY MAHONEY |
| Role | REVENUE CYCLE MANAGER |
| Address | 7 OLD SHERMAN TURNPIKE SUITE 209, DANBURY, CT, 06810, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MINDY MAHONEY |
| Role | REVENUE CYCLE MANAGER |
| Address | 7 OLD SHERMAN TURNPIKE SUITE 209, DANBURY, CT, 06810, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Residence address |
|---|---|---|
| ROBERT BOOLBOL M.D. | Officer | 105 WOODSIDE DRIVE, GREENWICH, CT, 06830, United States |
| DAVID LEVI M.D. | Officer | 135 OLMSTEAD HILL ROAD, WILTON, CT, 06897, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| GREGORY J. PEPE ESQ. | Agent | NEUBERT, PEPE & MONTEITH, P.C., 195 CHURCH STREET, 13TH FLOOR, NEW HAVEN, CT, 06510, United States | NEUBERT, PEPE & MONTEITH, P.C., 195 CHURCH STREET, 13TH FLOOR, NEW HAVEN, CT, 06510, United States | +1 203-733-2232 | LINUS1206@MAC.COM | 157 SANTA FE AVENUE, HAMDEN, CT, 06517, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0089303-FAC | CONTROLLED SUBSTANCE REGISTRATION FOR CLINICS AND OTHER FACILITIES | PENDING | NEW APPLICATION REVIEW REQUIRED | No data | No data | No data |
| CLAB.0001043 | Clinical Laboratory | ACTIVE IN RENEWAL | CURRENT | 2021-03-29 | 2023-04-01 | 2025-03-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012059896 | 2024-06-03 | No data | Annual Report | Annual Report | No data |
| BF-0011488684 | 2023-03-09 | No data | Annual Report | Annual Report | No data |
| BF-0010276900 | 2022-03-16 | No data | Annual Report | Annual Report | 2022 |
| 0007277206 | 2021-03-31 | No data | Annual Report | Annual Report | 2021 |
| 0007277177 | 2021-03-31 | No data | Annual Report | Annual Report | 2020 |
| 0006671641 | 2019-11-04 | 2019-11-04 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
