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  5. The Burrillville Nursing Home, Inc.

The Burrillville Nursing Home, Inc.

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Company Details

Name: The Burrillville Nursing Home, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 29 Oct 1982 (43 years ago)
Date of Dissolution: 25 Feb 2025 (6 months ago)
Date of Status Change: 25 Feb 2025 (6 months ago)
Identification Number: 000003120
ZIP code: 02907
City: Providence
County: Providence County
Purpose: TO CONSTRUCT, REHABILITATE OR ACQUIRE AND OPERATE A NURSING HOME DEVELOPMENT
Fictitious names: Pine Grove Health Center (trading name, 1994-03-09 - )
Lincoln Green (trading name, 1992-01-29 - 2010-06-10)
Principal Address: Google Maps Logo 359 BROAD STREET, PROVIDENCE, RI, 02907, USA

Industry & Business Activity

NAICS

623110 Nursing Care Facilities (Skilled Nursing Facilities)

This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau

Companies doing Nursing care facilities (skilled nursing facilities)

Agent

Name Role Address
WYATT A BROCHU Agent 1130 TEN ROD ROAD SUITE D102, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
CHRISTOPHER RYAN PRESIDENT 999 SOUTH MAIN STREET PASCOAG, RI 02859 USA

TREASURER

Name Role Address
CHRISTOPHER RYAN TREASURER 999 SOUTH MAIN STREET PASCOAG, RI 02859 USA

SECRETARY

Name Role Address
CHRISTOPHER RYAN SECRETARY 999 SOUTH MAIN STREET PASCOAG, RI 02859 USA

Unique Entity ID

CAGE Code:
4CQC8
UEI Expiration Date:
2019-08-15

Business Information

Doing Business As:
PINE GROVE HEALTH CENTER
Activation Date:
2018-08-15
Initial Registration Date:
2006-03-29

Commercial and government entity program

CAGE number:
4CQC8
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-02-26
CAGE Expiration:
2023-08-15

Contact Information

POC:
TERRY CARRAGHER

National Provider Identifier

NPI Number:
1538158456
Link:
View on NPI website

Authorized Person:

Name:
MR. THOMAS LLOYD RYAN
Role:
PRESIDENT OWNER
Phone:
4015683091

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 401-568-3091
Fax:
4015688070

Filings

Number Name File Date
202454711640 Annual Report 2024-05-21
202336676700 Annual Report 2023-06-08
202216292420 Annual Report 2022-04-29
202105334530 Statement of Change of Registered/Resident Agent Office 2021-11-24
202195169270 Annual Report 2021-03-31

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24119K0223
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$182,373.35
Base And Exercised Options Value:
$182,373.35
Base And All Options Value:
$182,373.35
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-03-26
Description:
EXPRESS REPORT: CNH DATA CUBE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24118K1378
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$987,114.65
Base And Exercised Options Value:
$987,114.65
Base And All Options Value:
$987,114.65
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2018-09-30
Description:
EXPRESS REPORT: CNH DATA CUBE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24118K1265
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$47,884.4
Base And Exercised Options Value:
$47,884.4
Base And All Options Value:
$47,884.4
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2018-05-02
Description:
EXPRESS REPORT: IGF::OT::IGF NURSING HOME CARE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

OSHA's Inspections within Industry

Inspection Summary

Date:
2009-04-23
Type:
Planned
Address:
999 SOUTH MAIN STREET, PASCOAG, RI, 02859
Safety Health:
Health
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

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Date of last update: 18 Jul 2025

Sources: Rhode Island Department of State

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