| Name: | HNH, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Sep 1967 (57 years ago) |
| Date of Dissolution: | 14 Sep 2012 (12 years ago) |
| Date of Status Change: | 14 Sep 2012 (12 years ago) |
| Identification Number: | 000016272 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 180 LOG ROAD, SMITHFIELD, RI, 02917, USA |
| Purpose: | TO OPERATE A NURSING AND/OR CONVALESCENT HOME |
| Historical names: |
HEBERT NURSING HOME, INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649273830 | 2005-05-23 | 2020-08-22 | 180 LOG RD, SMITHFIELD, RI, 029171518, US | 180 LOG RD, SMITHFIELD, RI, 029171518, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-231-7016 |
| Fax | 4012314018 |
Authorized person
| Name | MR. PAUL J HEBERT |
| Role | ADMINISTRATOR |
| Phone | 4012317016 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | RI264 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 402577 |
| State | RI |
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 5088-1 |
| State | RI |
| Issuer | UNITED HEALTHCARE OF NE |
| Number | 7109090 |
| State | RI |
| Issuer | MEDICAID |
| Number | 410549 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DANIEL K. FLAHERTY, ESQ. | Agent | 33 COLLEGE HILL ROAD SUITE 20D, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| PAUL J HEBERT | PRESIDENT | PLEASANT VIEW AVENUE SMITHFIELD, RI 02917 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2010-07-20 | HEBERT NURSING HOME, INC. | HNH, Inc. |
| Number | Name | File Date |
|---|---|---|
| 201297815140 | Revocation Certificate For Failure to File the Annual Report for the Year | 2012-09-14 |
| 201292969730 | Revocation Notice For Failure to File An Annual Report | 2012-05-23 |
| 201174566420 | Annual Report | 2011-02-07 |
| 201064794700 | Articles of Amendment | 2010-07-20 |
| 201058303370 | Annual Report | 2010-02-11 |
| 200941521110 | Annual Report | 2009-01-29 |
| 200808192280 | Annual Report | 2008-02-07 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
