Name: | BRIDGEMARK, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Non-Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 14 Feb 1975 (50 years ago) |
Identification Number: | 000027477 |
ZIP code: | 02888 |
County: | Kent County |
Principal Address: | 2020 ELMWOOD AVENUE, WARWICK, RI, 02888, USA |
Purpose: | SUBSTANCE ABUSE TREATMENT, RESIDENTIAL AND OUTPATIENT |
NAICS: | 622210 - Psychiatric and Substance Abuse Hospitals |
Fictitious names: |
JamestownHarp (trading name, 2022-07-05 - ) |
Historical names: |
KENT HOUSE, INC. |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801966510 | 2006-11-09 | 2012-11-13 | 2020 ELMWOOD AVE, WARWICK, RI, 028882404, US | 2020 ELMWOOD AVE, WARWICK, RI, 028882404, US | |||||||||||||||||||||||
|
Phone | +1 401-781-2700 |
Authorized person
Name | CHRISTINE T HARKINS |
Role | EXECUTIVE DIRECTOR |
Phone | 4017812700 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | KH8120 |
State | RI |
Name | Role | Address |
---|---|---|
PETER D. RUGGIERO, ESQ. | Agent | 1130 TEN ROD ROAD D-102, NORTH KINGSTOWN, RI, 02852, USA |
Name | Role | Address |
---|---|---|
RUSSELL KIBBE | PRESIDENT | 10 CLARK ROAD SMITHFIELD, RI 02917 USA |
Name | Role | Address |
---|---|---|
DONALD DEIGNAN | TREASURER | 60 PARK ROW WEST, APT 417 PROVIDENCE, RI 02903 USA |
Name | Role | Address |
---|---|---|
MARGIE DYBALA | SECRETARY | 60 SAW MILL DR, #106 NORTH KINGSTOWN, RI 02852 USA |
Name | Role | Address |
---|---|---|
MARK CARRUOLO | VICE PRESIDENT | 2020 ELMWOOD AVE WARWICK, RI 02888 USA |
Name | Role | Address |
---|---|---|
CHRISTINE HARKINS | DIRECTOR | 2020 ELMWOOD AVENUE WARWICK, RI 02888 USA |
STEPHEN MCCARTNEY | DIRECTOR | 2020 ELMWOOD AVENUE WARWICK, RI 02888 USA |
MARGIE DYBALA | DIRECTOR | 60 SAW MILL DR, # 106 NORTH KINGSTOWN, RI 02852 USA |
DONALD DEIGNAN | DIRECTOR | 60 PARK ROW WEST, APT 417 PROVIDENCE, RI 02903 USA |
RUSSELL KIBBE | DIRECTOR | 10 CLARK ROAD SMITHFIELD, RI 02917 USA |
MARK CARRUOLO | DIRECTOR | 2020ELMWOOD AVENUE WARWICK, RI 02888 USA |
JOHN HOWELL | DIRECTOR | 2020 ELMWOOD AVENUE WARWICK, RI 02888 USA |
VINCENT MURRAY | DIRECTOR | 2020 ELMWOOD AVE WARWICK, RI 02888 USA |
RICHARD CORLEY | DIRECTOR | 2020 ELMWOOD AVE WARWICK, RI 02888 USA |
Type | Date | Old Value | New Value |
---|---|---|---|
Name Change | 2008-04-07 | KENT HOUSE, INC. | BRIDGEMARK, INC. |
Number | Name | File Date |
---|---|---|
202449752650 | Annual Report | 2024-03-29 |
202331056200 | Annual Report | 2023-03-17 |
202220717430 | Fictitious Business Name Statement | 2022-07-05 |
202211839080 | Annual Report | 2022-03-01 |
202198762090 | Statement of Change of Registered/Resident Agent Office | 2021-06-29 |
202198749730 | Annual Report | 2021-06-29 |
202040803300 | Annual Report | 2020-05-26 |
201900011530 | Annual Report | 2019-06-27 |
201869610340 | Annual Report | 2018-06-14 |
201746007050 | Annual Report | 2017-06-22 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State