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  5. Bay Tower Nursing Center, Inc.

Bay Tower Nursing Center, Inc.

Company Details

Name: Bay Tower Nursing Center, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 06 Aug 1982 (42 years ago)
Date of Dissolution: 07 Aug 2013 (11 years ago)
Date of Status Change: 07 Aug 2013 (11 years ago)
Identification Number: 000002091
ZIP code: 02903
County: Providence County
Principal Address: 101 PLAIN STREET, PROVIDENCE, RI, 02903, USA
Purpose: THE OPERATION AND CONDUCT OF A GENERAL NURSING AND CONVALESCENT HOME FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568427995 2006-04-19 2020-08-22 101 PLAIN STREET, PROVIDENCE, RI, 029034824, US 101 PLAIN STREET, PROVIDENCE, RI, 029034824, US

Contacts
Phone +1 401-351-4444
Fax 4014532978

Authorized person
Name MRS. GENEVIEVE A FRANCIS
Role ADMINISTRATOR
Phone 4013514444

Taxonomy
Taxonomy Code 313M00000X - Nursing Facility/Intermediate Care Facility
License Number 0640
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 4105077
State RI
Issuer BLUE CROSS
Number 5045
State RI
Issuer BLUE CHIP
Number 403086
State RI
Issuer UHC
Number 710138
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAY TOWER NURSING CENTER 401(K) PLAN 2012 050397145 2013-08-30 BAY TOWER NURSING CENTER 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4012537725
Plan sponsor’s address C/O 594 METACOM, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2013-08-30
Name of individual signing GENEVIEVE FRANCIS
Valid signature Filed with authorized/valid electronic signature
BAY TOWER NURSING CENTER 401(K) PLAN 2012 050397145 2013-08-14 BAY TOWER NURSING CENTER 27
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4012537725
Plan sponsor’s address C/O 594 METACOM, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing GENEVIEVE FRANCIS
Valid signature Filed with authorized/valid electronic signature
BAY TOWER NURSING CENTER 401(K) PLAN 2011 050397145 2012-07-02 BAY TOWER NURSING CENTER 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4012537725
Plan sponsor’s address C/O 594 METACOM, BRISTOL, RI, 02809

Plan administrator’s name and address
Administrator’s EIN 050397145
Plan administrator’s name BAY TOWER NURSING CENTER
Plan administrator’s address C/O 594 METACOM, BRISTOL, RI, 02809
Administrator’s telephone number 4012537725

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing GENEVIEVE FRANCIS
Valid signature Filed with authorized/valid electronic signature
BAY TOWER NURSING CENTER 401(K) PLAN 2010 050397145 2011-08-19 BAY TOWER NURSING CENTER 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4012537725
Plan sponsor’s address C/O 594 METACOM, BRISTOL, RI, 02809

Plan administrator’s name and address
Administrator’s EIN 050397145
Plan administrator’s name BAY TOWER NURSING CENTER
Plan administrator’s address C/O 594 METACOM, BRISTOL, RI, 02809
Administrator’s telephone number 4012537725

Signature of
Role Plan administrator
Date 2011-08-19
Name of individual signing GENEVIEVE FRANCIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROBERT B. BERKELHAMMER, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
GENEVIEVE FRANCIS TREASURER 101 PLAIN STREET PROVIDENCE, RI 02903 USA

SECRETARY

Name Role Address
GAIL MINASSIAN SECRETARY 101 PLAIN STREET PROVIDENCE, RI 02903 USA

VICE PRESIDENT

Name Role Address
AZARIG KOOLOIAN VICE PRESIDENT 101 PLAIN STREET PROVIDENCE, RI 02903 USA

PRESIDENT

Name Role Address
HARRY MINASSIAN PRESIDENT 101 PLAIN STREET PROVIDENCE, RI 02903 USA

DIRECTOR

Name Role Address
ELIZABETH KOOLOIAN DIRECTOR 101 PLAIN STREET PROVIDENCE, RI 02903 USA

Filings

Number Name File Date
201326678160 Annual Report 2013-08-07
201326678250 Annual Report 2013-08-07
201326678340 Annual Report 2013-08-07
201326677640 Annual Report 2013-08-07
201326678070 Annual Report 2013-08-07
201326678430 Articles of Dissolution 2013-08-07
201326677550 Reinstatement 2013-08-07
200952866640 Revocation Certificate For Failure to File the Annual Report for the Year 2009-10-21
200948339060 Revocation Notice For Failure to File An Annual Report 2009-08-04
200806611530 Annual Report 2008-02-08

Related by officers

ROBERT B. BERKELHAMMER, ESQ.

POVAR ANIMAL HOSPITAL, LTD. JOHN MARKS YARNS, INC. DOME INDUSTRIES, INC. J. BROOMFIELD & SONS CO., INC. GENTER'S PHARMACY CORP. LENORE GRAY GALLERY, INC. SW Liquidation, Inc. Harold M. Horwitz, M.D., Inc. DB Coffee, Ltd. Richmond Group, Ltd.

AZARIG KOOLOIAN

KOOLOIAN REALTY, L.P. Martinique Holdings LLC

Related by address

101 PLAIN STREET, PROVIDENCE, RI, 02903, USA

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Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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