| Name: | Riverview Nursing Home, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Nov 1972 (52 years ago) |
| Identification Number: | 000021195 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 359 BROAD ST, PROVIDENCE, RI, 02907, USA |
| Purpose: | NURSING HOME OPERATION |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Riverview Nursing Home (trading name, 2010-02-11 - 2010-02-25) Riverview Healthcare Community (trading name, 1997-10-15 - ) Riverview Health Center (trading name, 1995-04-12 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790783116 | 2005-07-10 | 2024-11-08 | 588 PAWTUCKET AVE, PAWTUCKET, RI, 028606057, US | 546 MAIN ST, COVENTRY, RI, 028167852, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-751-3800 |
| Fax | 4017516350 |
| Phone | +1 401-821-6837 |
| Fax | 4018239840 |
Authorized person
| Name | KELLY ARNOLD |
| Role | COO |
| Phone | 4017513800 |
Taxonomy
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| License Number | 579 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 579 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 402008 |
| State | RI |
| Issuer | BLUE CROSS |
| Number | 507-2 |
| State | RI |
| Issuer | MEDICAID |
| Number | 579 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| MICHAEL BIGNEY | Agent | 588 PAWTUCKET AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| DAVID M RYAN | TREASURER | 101 MELROSE AVE JAMESTOWN, RI 02835 USA |
| Name | Role | Address |
|---|---|---|
| TERRY A CARRAGHER | SECRETARY | 232 BROADWAY PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| DAVID M RYAN | PRESIDENT | 101 MELROSE AVENUE JAMESTOWN, RI 02835 USA |
| Number | Name | File Date |
|---|---|---|
| 202460399920 | Statement of Change of Registered/Resident Agent | 2024-09-30 |
| 202452190500 | Annual Report | 2024-04-23 |
| 202336429450 | Annual Report | 2023-05-31 |
| 202208164520 | Annual Report | 2022-01-19 |
| 202185794790 | Annual Report | 2021-01-11 |
| 202033602750 | Annual Report | 2020-02-03 |
| 201989019100 | Annual Report | 2019-03-21 |
| 201855803370 | Annual Report | 2018-01-08 |
| 201734969290 | Annual Report | 2017-02-28 |
| 201690691800 | Annual Report | 2016-01-14 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
