| Name: | ORCHARD VIEW MANOR, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 20 May 1977 (48 years ago) |
| Date of Dissolution: | 29 Jul 2021 (3 years ago) |
| Date of Status Change: | 29 Jul 2021 (3 years ago) |
| Identification Number: | 000007714 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 33 JENNYS LANE, BARRINGTON, RI, 02806, USA |
| Purpose: | NURSING FACILITY |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Historical names: |
NICHOLAS MARRA NURSING HOME, INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508864646 | 2005-07-12 | 2010-07-19 | 135 TRIPPS LN, EAST PROVIDENCE, RI, 029153017, US | 135 TRIPPS LN, EAST PROVIDENCE, RI, 029153017, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-438-2250 |
| Fax | 4014380635 |
Authorized person
| Name | MR. ORLANDO J. BISBANO JR. |
| Role | ADMINISTRATOR |
| Phone | 4014382250 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00675 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 401096 |
| State | RI |
| Issuer | MEDICAID |
| Number | 41-05059 |
| State | RI |
| Issuer | BLUE CROSS |
| Number | 5064 |
| State | RI |
| Issuer | UNITED HEALTHCARE |
| Number | 71-00111 |
| State | RI |
| Issuer | EVERCARE |
| Number | 71-01086 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| FRANCIS A. CONNOR, III | Agent | ONE FINANCIAL PLAZA 18TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL H. MARRA | PRESIDENT | 33 JENNYS LANE BARRINGTON, RI 02806 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL H. MARRA | TREASURER | 33 JENNYS LANE BARRINGTON, RI 02806 USA |
| Name | Role | Address |
|---|---|---|
| ORLANDO J. BISBANO, JR. | SECRETARY | 14 DONNA COURT BRISTOL, RI 02809 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL H. MARRA | DIRECTOR | 33 JENNYS LANE BARRINGTON, RI 02806 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1989-07-05 | NICHOLAS MARRA NURSING HOME, INC. | ORCHARD VIEW MANOR, INC. |
| Number | Name | File Date |
|---|---|---|
| 202199621710 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196723110 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202035377890 | Annual Report | 2020-02-27 |
| 201926620460 | Statement of Change of Registered/Resident Agent Office | 2019-11-01 |
| 201997941400 | Annual Report | 2019-06-20 |
| 201858257440 | Annual Report | 2018-02-14 |
| 201858255130 | Statement of Change of Registered/Resident Agent | 2018-02-14 |
| 201739315290 | Annual Report | 2017-03-31 |
| 201694656760 | Annual Report | 2016-03-14 |
| 201556561920 | Annual Report | 2015-03-04 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
