| Name: | VILLAGE HOUSE CONVALESCENT HOME, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 06 Nov 1974 (50 years ago) |
| Identification Number: | 000014812 |
| ZIP code: | 02840 |
| County: | Newport County |
| Principal Address: | 70 HARRISON AVENUE, NEWPORT, RI, 02840, USA |
| Purpose: | OPERATING A SKILLED NURSING AND CONVALESCENT HOME |
| Fictitious names: |
Village House Nursing & Rehabilitation Center (trading name, 2009-08-28 - ) Village House (trading name, 1995-04-12 - ) |
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 | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033151519 | 2006-06-11 | 2024-11-08 | 70 HARRISON AVE, NEWPORT, RI, 028403879, US | 70 HARRISON AVE, NEWPORT, RI, 028403879, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-849-5222 |
| Fax | 4018495765 |
Authorized person
| Name | KELLY ARNOLD |
| Role | COO |
| Phone | 4017513800 |
Taxonomy
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| License Number | 589 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 589 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105074 |
| State | RI |
| Issuer | BLUE CHIP |
| Number | 403199 |
| State | RI |
| Issuer | BLUE CROSS |
| Number | 50779 |
| State | RI |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 254900JLIME9G06FDW05 | 000014812 | US-RI | GENERAL | ACTIVE | 1974-11-06 | |||||||||||||||||||
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| Legal | c/o TERRY A. CARRAGHER, 359 BROAD STREET, PROVIDENCE, US-RI, US, 02907 |
| Headquarters | 70 HARRISON AVENUE, NEWPORT, US-RI, US, 02840 |
Registration details
| Registration Date | 2019-08-16 |
| Last Update | 2024-08-17 |
| Status | LAPSED |
| Next Renewal | 2024-08-16 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000014812 |
| Name | Role | Address |
|---|---|---|
| MICHAEL BIGNEY | Agent | 588 PAWTUCKET AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL BIGNEY | PRESIDENT | 10 LINDEN DRIVE PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 202460355890 | Statement of Change of Registered/Resident Agent | 2024-09-27 |
| 202452206120 | Annual Report | 2024-04-23 |
| 202336435820 | Annual Report | 2023-05-31 |
| 202208163820 | Annual Report | 2022-01-19 |
| 202185792390 | Annual Report | 2021-01-11 |
| 202033603270 | Annual Report | 2020-02-03 |
| 201989020430 | Annual Report | 2019-03-21 |
| 201855804160 | Annual Report | 2018-01-08 |
| 201734976720 | Annual Report | 2017-02-28 |
| 201690692230 | Annual Report | 2016-01-14 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 302669817 | 0112300 | 2000-10-03 | 70 HARRISON AVENUE, NEWPORT, RI, 02840 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100305 J02 II |
| Issuance Date | 2000-11-28 |
| Abatement Due Date | 2001-01-02 |
| Current Penalty | 750.0 |
| Initial Penalty | 1500.0 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 02 |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 I |
| Issuance Date | 2000-11-28 |
| Abatement Due Date | 2001-01-02 |
| Current Penalty | 937.5 |
| Initial Penalty | 1875.0 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 03 |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19101030 D02 I |
| Issuance Date | 2000-11-28 |
| Abatement Due Date | 2001-01-02 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 03 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2000-11-28 |
| Abatement Due Date | 2001-01-02 |
| Nr Instances | 1 |
| Nr Exposed | 9 |
| Gravity | 01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2101927106 | 2020-04-10 | 0165 | PPP | 70 Harrison Ave, NEWPORT, RI, 02840-3808 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
