| Name: | NANCY ANN NURSING HOME, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 19 Jun 1973 (52 years ago) |
| Date of Dissolution: | 02 Aug 2018 (7 years ago) |
| Date of Status Change: | 02 Aug 2018 (7 years ago) |
| Identification Number: | 000013751 |
| ZIP code: | 02825 |
| County: | Providence County |
| Principal Address: | 47 EAST KILLINGLY ROAD, FOSTER, RI, 02825, USA |
| Purpose: | 20 BED NURSING HOME |
| Historical names: |
NANCY ANN NURSING HOME, INC.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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811949068 | 2006-05-16 | 2020-08-22 | 47 E KILLINGLY RD, FOSTER, RI, 028251429, US | 47 E KILLINGLY RD, FOSTER, RI, 028251429, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-647-2170 |
| Fax | 4016479020 |
Authorized person
| Name | ROBERT E. FOSS JR. |
| Role | OWNER/ADMINISTRATOR |
| Phone | 4016472170 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 410-5115 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105115 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ROBERT E. FOSS JR. | Agent | 47 EAST KILLINGLY ROAD, FOSTER, RI, 02825, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT EDWARD FOSS JR | PRESIDENT | 47 EAST KILLINGLY ROAD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT EDWARD FOSS JR | SECRETARY | 47 EAST KILLINGLY ROAD FOSTER, RI 02825 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1991-02-06 | NANCY ANN NURSING HOME, INC.INC. | NANCY ANN NURSING HOME, INC. |
| Number | Name | File Date |
|---|---|---|
| 201873735370 | Articles of Dissolution | 2018-08-02 |
| 201856339030 | Annual Report | 2018-01-18 |
| 201729591570 | Annual Report | 2017-01-06 |
| 201690100960 | Annual Report | 2016-01-06 |
| 201552976980 | Annual Report | 2015-01-08 |
| 201435452190 | Annual Report | 2014-02-12 |
| 201306911010 | Annual Report | 2013-01-04 |
| 201289147620 | Annual Report | 2012-02-07 |
| 201174024920 | Annual Report | 2011-01-26 |
| 201057969450 | Annual Report | 2010-02-04 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
