| Name: | Con-V-Care, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Aug 1972 (52 years ago) |
| Identification Number: | 000004792 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 262 POPLAR STREET, WOONSOCKET, RI, 02895, USA |
| Purpose: | SKILLED NURSING & REHABILITATION FACILITY |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Beacon Hill Assisted Living Community (trading name, 2002-06-20 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013903376 | 2005-09-22 | 2020-08-22 | 262 POPLAR STREET, WOONSOCKET, RI, 028955429, US | 262 POPLAR ST., WOONSOCKET, RI, 028955429, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-765-2100 |
| Fax | 4012327275 |
Authorized person
| Name | MRS. ROBBIN A BROOKS |
| Role | ADMINISTRATOR-FACILITIES OPERATIONS |
| Phone | 4017652100 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 606 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 606 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| NORMA J. PEZZELLI | Agent | 262 POPLAR STREET, WOONSOCKET, RI, 02895, USA |
| Name | Role | Address |
|---|---|---|
| PETER J PEZZELLI | PRESIDENT | 262 POPLAR STREET WOONSOCKET, RI 02895 USA |
| Number | Name | File Date |
|---|---|---|
| 202448479710 | Annual Report | 2024-03-12 |
| 202326280630 | Annual Report | 2023-01-20 |
| 202208199180 | Annual Report | 2022-01-19 |
| 202184238060 | Annual Report | 2021-01-05 |
| 202032027590 | Annual Report | 2020-01-13 |
| 201919846310 | Annual Report - Amended | 2019-09-16 |
| 201919842790 | Annual Report - Amended | 2019-09-16 |
| 201983667640 | Annual Report | 2019-01-03 |
| 201855768110 | Annual Report | 2018-01-08 |
| 201729693210 | Annual Report | 2017-01-09 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
