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  5. MEDICAL HOMES OF RHODE ISLAND, INC.

MEDICAL HOMES OF RHODE ISLAND, INC.

Company Details

Name: MEDICAL HOMES OF RHODE ISLAND, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 26 Jun 1962 (63 years ago)
Identification Number: 000009410
ZIP code: 02919
County: Providence County
Principal Address: 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919, USA
Purpose: NURSING HOME
NAICS: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Fictitious names: BRIARCLIFFE MANOR (trading name, 1991-11-01 - )
Briarcliffe Healthcare Facility (trading name, 1977-03-15 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003895905 2006-01-10 2020-08-22 49 OLD POCASSET RD, JOHNSTON, RI, 029193111, US 49 OLD POCASSET RD, JOHNSTON, RI, 02919, US

Contacts
Phone +1 401-944-2450

Authorized person
Name MR. AKSHAY K TALWAR
Role ADMINISTRATOR
Phone 4019442450

Taxonomy
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 435
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 4105012
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRIARCLIFFE MANOR RETIREMENT PLAN 2013 050302286 2014-06-02 MEDICAL HOMES OF RHODE ISLAND, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-12-01
Business code 623000
Sponsor’s telephone number 4019442450
Plan sponsor’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2014-06-02
Name of individual signing AKSHAY TALWAR
Valid signature Filed with authorized/valid electronic signature
BRIARCLIFFE MANOR RETIREMENT PLAN 2012 050302286 2013-06-27 MEDICAL HOMES OF RHODE ISLAND, INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-12-01
Business code 623000
Sponsor’s telephone number 4019442450
Plan sponsor’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing AKSHAY TALWAR
Valid signature Filed with authorized/valid electronic signature
BRIARCLIFFE MANOR RETIREMENT PLAN 2011 050302286 2012-07-27 MEDICAL HOMES OF RHODE ISLAND, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-12-01
Business code 623000
Sponsor’s telephone number 4019442450
Plan sponsor’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050302286
Plan administrator’s name MEDICAL HOMES OF RHODE ISLAND, INC.
Plan administrator’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
Administrator’s telephone number 4019442450

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing AKSHAY TALWAR
Valid signature Filed with authorized/valid electronic signature
BRIARCLIFFE MANOR RETIREMENT PLAN 2010 050302286 2011-07-25 MEDICAL HOMES OF RHODE ISLAND, INC. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-12-01
Business code 623000
Sponsor’s telephone number 4019442450
Plan sponsor’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050302286
Plan administrator’s name MEDICAL HOMES OF RHODE ISLAND, INC.
Plan administrator’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
Administrator’s telephone number 4019442450

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing AKSHAY TALWAR
Valid signature Filed with authorized/valid electronic signature
BRIARCLIFFE MANOR RETIREMENT PLAN 2009 050302286 2010-10-07 MEDICAL HOMES OF RHODE ISLAND, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-12-01
Business code 623000
Sponsor’s telephone number 4019442450
Plan sponsor’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050302286
Plan administrator’s name MEDICAL HOMES OF RHODE ISLAND, INC.
Plan administrator’s address 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
Administrator’s telephone number 4019442450

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing AKSHAY K. TALWAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AKSHAY K. TALWAR Agent 49 OLD POCASSET ROAD, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
AKSHAY K TALWAR PRESIDENT 49 OLD POCASSET ROAD JOHNSTON, RI 02919 USA

Filings

Number Name File Date
202445223910 Annual Report 2024-02-01
202327178990 Annual Report 2023-02-01
202210792980 Annual Report 2022-02-15
202187955540 Annual Report 2021-01-27
202031315940 Annual Report 2020-01-08
201983529010 Annual Report 2019-01-02
201855584080 Annual Report 2018-01-03
201729449330 Annual Report 2017-01-04
201690060390 Annual Report 2016-01-05
201552779860 Annual Report 2015-01-06

Related by officers

AKSHAY K. TALWAR

Gentle Pastures, LLC Tall Pastures, LLC Geriatric Centers of North America, Inc. Geriatric Centers of North America Realty Corp. THE PASTURES REALTY, LLC BRIARCLIFFE GARDENS, LLC BRIARCLIFFE GARDENS REALTY, LLC BRIARCLIFFE REALTY TWO, LLC VISIONARY HEALTHCARE NETWORK, LLC The Preserve at Briarcliffe, LLC

AKSHAY K TALWAR

Medical Homes Investment Corporation Gentle Pastures, LLC Geriatric Centers of North America, Inc. Geriatric Centers of North America Realty Corp.

Related by address

49 OLD POCASSET ROAD, JOHNSTON, RI, 02919, USA

Medical Homes Investment Corporation Tall Pastures, LLC Geriatric Centers of North America, Inc. Geriatric Centers of North America Realty Corp. THE PASTURES REALTY, LLC BRIARCLIFFE GARDENS, LLC BRIARCLIFFE GARDENS REALTY, LLC BRIARCLIFFE REALTY TWO, LLC VISIONARY HEALTHCARE NETWORK, LLC

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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