Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. New Haven
    4. ›
  4. 06514
    5. ›
  5. BRANHAVEN MEDICAL GROUP, LLC

BRANHAVEN MEDICAL GROUP, LLC

Company Details

Entity Name: BRANHAVEN MEDICAL GROUP, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 30 Jan 2006
Date of dissolution: 30 Dec 2020
Business ALEI: 0847593
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States
Mailing address: 2543 DIXWELL AVENUE, HAMDEN, CT, United States, 06514
ZIP code: 06514
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: branhavenmd@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRANHAVEN MEDICAL GROUP LLC 401(K) PSP 2021 204243337 2022-07-28 BRANHAVEN MEDICAL GROUP, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC 401(K) PSP 2020 204243337 2021-09-13 BRANHAVEN MEDICAL GROUP, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2021-09-10
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC 401(K) PSP 2020 204243337 2021-06-09 BRANHAVEN MEDICAL GROUP, LLC 1
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC DEFINED BENEFIT PENSION PLAN 2019 204243337 2020-10-15 BRANHAVEN MEDICAL GROUP LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC DEFINED BENEFIT 2019 204243337 2020-12-12 BRANHAVEN MEDICAL GROUP LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2020-12-11
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC 401(K) PSP 2019 204243337 2020-09-15 BRANHAVEN MEDICAL GROUP, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC 401(K) PSP 2018 204243337 2019-10-08 BRANHAVEN MEDICAL GROUP, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC DEFINED BENEFIT PENSION PLAN 2018 204243337 2019-10-08 BRANHAVEN MEDICAL GROUP, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC 401(K) PSP 2017 204243337 2018-05-21 BRANHAVEN MEDICAL GROUP, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
BRANHAVEN MEDICAL GROUP LLC DEFINED BENEFIT PENSION PLAN 2017 204243337 2018-05-21 BRANHAVEN MEDICAL GROUP, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2032304160
Plan sponsor’s address 2543 DIXWELL AVENUE, HAMDEN, CT, 06514

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing PRATHIBHA KUMAR
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address E-Mail Residence address
PRATHIBHA KUMAR Officer 2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States branhavenmd@yahoo.com 125 SCENIC COURT, CHESHIRE, CT, 06410, United States

Agent

Name Role Business address Mailing address E-Mail Residence address
PRATHIBHA KUMAR Agent 2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States 2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States branhavenmd@yahoo.com 125 SCENIC COURT, CHESHIRE, CT, 06410, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007041539 2020-12-21 2020-12-30 Dissolution Certificate of Dissolution No data
0006937467 2020-06-30 No data Annual Report Annual Report 2020
0006454427 2019-03-12 No data Annual Report Annual Report 2019
0006083281 2018-02-16 No data Annual Report Annual Report 2018
0005724382 2016-12-23 No data Annual Report Annual Report 2017
0005527818 2016-04-04 No data Annual Report Annual Report 2016
0005450682 2015-12-21 No data Change of Business Address Business Address Change No data
0005450943 2015-12-21 No data Annual Report Annual Report 2014
0005450945 2015-12-21 No data Annual Report Annual Report 2015
0005450931 2015-12-21 No data Annual Report Annual Report 2013

Related by officers

No related officers

Related by address

2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States

PHYSICAL THERAPY AND REHABILITATION CENTER, LLC FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE, LLC

2543 DIXWELL AVENUE, HAMDEN, CT, United States, 06514

PHYSICAL THERAPY AND REHABILITATION CENTER, LLC FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE, LLC

Date of last update: 27 Jan 2025

Sources: Connecticut's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ctorgs.com, Part of Big Data Integrated