| Name: | EMMA PENDLETON BRADLEY HOSPITAL |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Oct 1957 (67 years ago) |
| Identification Number: | 000027629 |
| ZIP code: | 02915 |
| County: | Providence County |
| Principal Address: | 1011 VETERANS MEMORIAL PARKWAY, EAST PROVIDENCE, RI, 02915, USA |
| Purpose: | PYSCHIATRIC TREATMENT CENTER/HOSPITAL FOR INFANTS CHILDREN AND ADOLESCENTS AND THEIR FAMILIES 116 |
| NAICS: | 622110 - General Medical and Surgical Hospitals |
| Fictitious names: |
Bradley Center (trading name, 2018-07-05 - ) Bradley Hospital (trading name, 2014-11-10 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528519766 | 2016-10-24 | 2023-04-26 | 117 ELLENFIELD ST STE 101, PROVIDENCE, RI, 029054541, US | 1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI, 029155061, US | |||||||||||||||||||||||
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| Fax | 4014446912 |
| Phone | +1 401-432-1000 |
Authorized person
| Name | PETER K MARKELL |
| Role | EVP & CFO |
| Phone | 4014447914 |
Taxonomy
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| License Number | CSW01941 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAUL J ADLER | Agent | 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| HENRY SACHS MD | PRESIDENT | 1011 VETERANS MEMORIAL PARKWAY EAST PROVIDENCE, RI 02915 USA |
| Name | Role | Address |
|---|---|---|
| ALAN LITWIN | DIRECTOR | 951 NORTH MAIN STREET PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 202449065390 | Annual Report | 2024-03-14 |
| 202332404190 | Annual Report | 2023-04-05 |
| 202213378820 | Annual Report | 2022-03-21 |
| 202199408320 | Annual Report | 2021-07-20 |
| 202042560300 | Annual Report | 2020-06-19 |
| 201910110140 | Annual Report | 2019-08-05 |
| 201984627940 | Statement of Change of Registered/Resident Agent Office | 2019-01-17 |
| 201876271820 | Annual Report | 2018-08-30 |
| 201871721960 | Fictitious Business Name Statement | 2018-07-05 |
| 201748019060 | Annual Report | 2017-07-27 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
