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PEZZELLI NURSING HOME, INC.

Company Details

Name: PEZZELLI NURSING HOME, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 15 May 1968 (57 years ago)
Identification Number: 000017894
ZIP code: 02904
County: Providence County
Purpose: SKILLED NURSING FACILITY
Fictitious names: Golden Crest Nursing Centre (trading name, 2019-01-16 - )
Principal Address: Google Maps Logo 100 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 02904, USA

Contact Details

Phone +1 401-353-1710

Industry & Business Activity

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

Agent

Name Role Address
NORMA M. PEZZELLI Agent 262 POPLAR STREET, WOONSOCKET, RI, 02895, USA

PRESIDENT

Name Role Address
PAUL PEZZELLI PRESIDENT 100 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA

TREASURER

Name Role Address
PAUL PEZZELLI TREASURER 100 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA

SECRETARY

Name Role Address
PAUL PEZZELLI SECRETARY 100 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1831185198

Authorized Person:

Name:
MR. PAUL M PEZZELLI
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
4013531618

Legal Entity Identifier

LEI Number:
549300UFPW775OBCP504

Registration Details:

Initial Registration Date:
2016-05-17
Next Renewal Date:
2017-05-13
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
105034001
Plan Year:
2023
Number Of Participants:
127
Sponsors Telephone Number:

Licenses

License No License Type Status Date Issued Expiration Date
LTC00820 Nursing Facility Active 2021-08-03 2025-12-31

Filings

Number Name File Date
202447139110 Annual Report 2024-02-23
202336530390 Annual Report - Amended 2023-06-02
202326280360 Annual Report 2023-01-20
202208201180 Annual Report 2022-01-19
202184236660 Annual Report 2021-01-05

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2024-12-03
Action:
InitialFiling

Parties

Party Name:
PEZZELLI NURSING HOME, INC.
Party Role:
Debtor(s)
Party Name:
ROCKLAND TRUST COMPANY
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2023-06-02
Action:
InitialFiling

Parties

Party Role:
Debtor(s)
Party Name:
PEZZELLI NURSING HOME, INC.
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2023-06-02
Action:
InitialFiling

Parties

Party Name:
Party Role:
Debtor(s)
Party Name:
PEZZELLI NURSING HOME, INC.
Party Role:
Secured Parties

Expenditures

Agency Date Program Subprogram Amount
Department of Administration 2024-07-12 CENTRAL MANAGEMENT DIRECTOR'S OFFICE 256883.0
Department of Administration 2022-12-23 CENTRAL MANAGEMENT DIRECTOR'S OFFICE 535260.12

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1366210.00
Total Face Value Of Loan:
1366210.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1366210
Current Approval Amount:
1366210
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1380479.3

Court Cases

Court Case Summary

Filing Date:
2019-02-11
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Both plaintiff and defendant demand jury
Nature Of Suit:
Americans with Disabilities Act - Employment

Parties

Party Name:
IZZI
Party Role:
Plaintiff
Party Name:
PEZZELLI NURSING HOME, INC.
Party Role:
Defendant

Date of last update: 17 May 2025

Sources: Rhode Island Department of State