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  5. Roberts Health Centre, Inc.

Roberts Health Centre, Inc.

Company Details

Name: Roberts Health Centre, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 02 Mar 1982 (43 years ago)
Identification Number: 000021387
ZIP code: 02852
County: Washington County
Principal Address: 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 02852, USA
Purpose: NURSING HOME
NAICS: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306914692 2006-12-03 2008-02-25 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524173, US 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524173, US

Contacts
Phone +1 401-294-3587
Fax 4012959357

Authorized person
Name MR. RICHARD ALBERT CATALLOZZI
Role ADMINISTRATOR
Phone 4012943587

Taxonomy
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 00639
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CHIP
Number 401523
State RI
Issuer MEDICAID
Number 4105104
State RI
Issuer BLUE CROSS
Number 5067
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2023 050395265 2024-05-10 ROBERTS HEALTH CENTRE, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-10
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2022 050395265 2023-07-11 ROBERTS HEALTH CENTRE, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-11
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2021 050395265 2022-05-16 ROBERTS HEALTH CENTRE, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-16
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2020 050395265 2021-03-08 ROBERTS HEALTH CENTRE, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2021-03-08
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-08
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2019 050395265 2020-03-26 ROBERTS HEALTH CENTRE, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2020-03-26
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-26
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2018 050395265 2019-04-09 ROBERTS HEALTH CENTRE, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-09
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2018 050395265 2019-04-03 ROBERTS HEALTH CENTRE, INC. 60
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2017 050395265 2018-03-15 ROBERTS HEALTH CENTRE, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2018-03-15
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-15
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2016 050395265 2017-03-24 ROBERTS HEALTH CENTRE, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2017-03-24
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-24
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
ROBERTS HEALTH CENTRE, INC. RETIREMENT PLAN 2015 050395265 2016-03-22 ROBERTS HEALTH CENTRE, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2016-03-22
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-22
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/25/20150425185124P040257220577001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2015-04-25
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-25
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/21/20140321113334P030043000663001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2014-03-21
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-21
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/06/20130506170201P040073330485001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Signature of
Role Plan administrator
Date 2013-05-06
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-06
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/12/20120412150551P040020951527001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Plan administrator’s name and address
Administrator’s EIN 050395265
Plan administrator’s name ROBERTS HEALTH CENTRE, INC.
Plan administrator’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112
Administrator’s telephone number 4012943587

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing RICHARD A. CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-12
Name of individual signing RICHARD A. CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/28/20110228130747P030005517623001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, N KINGSTWN, RI, 028524112

Plan administrator’s name and address
Administrator’s EIN 050395265
Plan administrator’s name ROBERTS HEALTH CENTRE, INC.
Plan administrator’s address 25 ROBERTS WAY, N KINGSTWN, RI, 028524112
Administrator’s telephone number 4012943587

Signature of
Role Plan administrator
Date 2011-02-28
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-28
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/03/20100903073524P070016238242001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 623000
Sponsor’s telephone number 4012943587
Plan sponsor’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112

Plan administrator’s name and address
Administrator’s EIN 050395265
Plan administrator’s name ROBERTS HEALTH CENTRE, INC.
Plan administrator’s address 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 028524112
Administrator’s telephone number 4012943587

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-03
Name of individual signing RICHARD CATALLOZZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD A. CATALLOZZI Agent 25 ROBERTS WAY, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
RICHARD A CATALLOZZI PRESIDENT 25 ROBERTS WAY NORTH KINGSTOWN, RI 02852 USA

Filings

Number Name File Date
202448316420 Annual Report 2024-03-08
202331389380 Annual Report 2023-03-20
202213127130 Annual Report 2022-03-14
202188886410 Annual Report 2021-01-28
202035457240 Annual Report 2020-02-26
202035274360 Statement of Change of Registered/Resident Agent 2020-02-26
201988835260 Annual Report 2019-03-15
201859119710 Annual Report 2018-02-26
201730784770 Annual Report 2017-01-25
201690719720 Annual Report 2016-01-14

Related by officers

RICHARD A. CATALLOZZI

RAC ACQUISITIONS, LLC RICHARD A. CATALLOZZI BUILDING, LLC

RICHARD A CATALLOZZI

RAC ACQUISITIONS, LLC RICHARD A. CATALLOZZI BUILDING, LLC WINSTON PROPERTIES, LLC

Related by address

25 ROBERTS WAY, NORTH KINGSTOWN, RI, 02852, USA

RAC ACQUISITIONS, LLC RICHARD A. CATALLOZZI BUILDING, LLC WINSTON PROPERTIES, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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