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 (4 years ago) |
Date of Status Change: | 29 Jul 2021 (4 years ago) |
Identification Number: | 000007714 |
ZIP code: | 02806 |
County: | Bristol County |
Principal Address: | 33 JENNYS LANE, BARRINGTON, RI, 02806, USA |
Purpose: | NURSING FACILITY |
Historical names: |
NICHOLAS MARRA NURSING HOME, INC. |
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
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 |
---|---|---|
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 |
Name | Role | Address |
---|---|---|
FRANCIS A. CONNOR, III | Agent | ONE FINANCIAL PLAZA 18TH FLOOR, PROVIDENCE, RI, 02903, 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: 06 Apr 2025
Sources: Rhode Island Department of State