| Name: | FELLOWSHIP HEALTH RESOURCES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 May 1977 (48 years ago) |
| Identification Number: | 000027061 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 24 ALBION ROAD SUITE 420, LINCOLN, RI, 02865, USA |
| Purpose: | THE OPERATION OF GROUP HOMES AND OTHER PROGRAMS FOR THE MENTALLY DISABLED.EXCLUSIVELY CHARITABLE EDUCATIONAL RELIGIOUS LITERARY AND OD SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501C3 OF THE INTERNAL REVENUE CODE |
| NAICS: | 623220 - Residential Mental Health and Substance Abuse Facilities |
| Fictitious names: |
Elwyn Adult Behavioral Health Services (trading name, 2023-09-28 - ) |
| Historical names: |
The New England Fellowship for RehabilitationAlternatives, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356646103 | 2011-01-25 | 2023-09-06 | 24 ALBION RD STE 420, LINCOLN, RI, 028653744, US | 24 ALBION RD STE 420, LINCOLN, RI, 028653744, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-333-3980 |
| Fax | 4013333984 |
Authorized person
| Name | STEPHEN DUGGAN |
| Role | DIRECTOR OF FINANCE |
| Phone | 4016424410 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | PA |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 134980 |
| State | PA |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | 134980 |
| State | PA |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100814610-0021 |
| State | PA |
| Name | Role | Address |
|---|---|---|
| DEBRA M. PAUL | Agent | 24 ALBION ROAD SUITE 420, LINCOLN, RI, 02865, USA |
| Name | Role | Address |
|---|---|---|
| CHARLES S MCLISTER | PRESIDENT | 111 ELWYN ROAD ELWYN, PA 19063 USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN DUGGAN | TREASURER | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| RUSSELL SYLVIA | SECRETARY | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| NIKOLE CABREY | CFO | 111 ELWYN ROAD ELWYN, PA 19063 USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM EMMET | CHAIR | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| KELLY MCGEE | VICE CHAIR | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT COLUCCI | ASSISTANT TREASURER | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| NEAL BROWN | DIRECTOR | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| LEN KIRBY | DIRECTOR | 111 ELWYN ROAD ELWYN, PA 19063 USA |
| MICHAEL OWEN | DIRECTOR | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| JAMES SEBRA | DIRECTOR | 111 ELWYN ROAD ELWYN, PA 19063 USA |
| RICHARD SHEOLA | DIRECTOR | 24 ALBION ROAD, SUITE 420 LINCOLN, RI 02865 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1996-10-11 | The New England Fellowship for RehabilitationAlternatives, Inc. | FELLOWSHIP HEALTH RESOURCES, INC. |
| Number | Name | File Date |
|---|---|---|
| 202453709710 | Annual Report | 2024-05-01 |
| 202341981220 | Restated Articles of Incorporation | 2023-09-29 |
| 202341942780 | Fictitious Business Name Statement | 2023-09-28 |
| 202334725310 | Annual Report | 2023-04-30 |
| 202217929910 | Annual Report | 2022-05-27 |
| 202198794730 | Annual Report | 2021-06-29 |
| 202043877010 | Annual Report | 2020-06-30 |
| 201999015910 | Annual Report | 2019-06-24 |
| 201882797510 | Statement of Change of Registered/Resident Agent | 2018-12-17 |
| 201882326080 | Restated Articles of Incorporation | 2018-12-06 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
