| Name: | Saint Antoine Residence |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 Apr 1913 (112 years ago) |
| Identification Number: | 000027786 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | ONE CATHEDRAL SQUARE, PROVIDENCE, RI, 02903, USA |
| Purpose: | RELIGIOUS CHARITABLE AND EDUCATIONAL ACTIVITIES 212 |
| NAICS: | 813110 - Religious Organizations |
| Historical names: |
LHOSPICE SAINT ANTOINE DE WOONSOCKET RI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811038276 | 2007-02-09 | 2020-08-22 | 10 RHODES AVE, NORTH SMITHFIELD, RI, 028966987, US | 10 RHODES AVE, NORTH SMITHFIELD, RI, 028966987, US | |||||||||||||||||||||||||
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| Phone | +1 401-767-3500 |
| Fax | 4017695249 |
Authorized person
| Name | MRS. WENDY FARGNOLI |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4017673500 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 00001 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105106 |
| State | RI |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300WU83RM2QTXAY28 | 000027786 | US-RI | GENERAL | ACTIVE | No data | |||||||||||||||||||
|
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| Legal | C/O Eugene G. Bernardo II, Esq., 40 Westminster Street, Suite 1100, Providence, US-RI, US, 02903 |
| Headquarters | 10 Rhodes Avenue, North Smithfield, US-RI, US, 02896 |
Registration details
| Registration Date | 2016-08-31 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2017-08-29 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000027786 |
| Name | Role | Address |
|---|---|---|
| EUGENE G. BERNARDO II, ESQ. | Agent | 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MOST REV. RICHARD G. HENNING | PRESIDENT | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| REV. MSGR. ALBERT A. KENNEY | VICE PRESIDENT | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| REV. TIMOTHY D. REILLY | SECRETARY | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| MOST REV. RICHARD G. HENNING | TREASURER | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| LAURA DOS SANTOS | ASSISTANT TREASURER | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| MOST REV. RICHARD G. HENNING | DIRECTOR | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| REV. MSGR. ALBERT A. KENNEY | DIRECTOR | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| REV. MSGR. GEORGE L. FRAPPIER | DIRECTOR | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| JAMES JAHNZ | DIRECTOR | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| LAURA DOS SANTOS | DIRECTOR | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| REV. TIMOTHY D REILLY | DIRECTOR | ONE CATHEDRAL SQUARE PROVIDENCE, RI 02903 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1987-05-22 | LHOSPICE SAINT ANTOINE DE WOONSOCKET RI | Saint Antoine Residence |
| Number | Name | File Date |
|---|---|---|
| 202450528800 | Annual Report | 2024-04-09 |
| 202335873920 | Annual Report - Amended | 2023-05-22 |
| 202334814410 | Annual Report | 2023-04-28 |
| 202217215680 | Annual Report | 2022-05-02 |
| 202199385270 | Annual Report | 2021-07-15 |
| 202047188860 | Annual Report | 2020-07-31 |
| 201908572240 | Annual Report | 2019-07-29 |
| 201872535610 | Annual Report | 2018-07-17 |
| 201748084310 | Annual Report | 2017-07-28 |
| 201602678220 | Annual Report | 2016-07-27 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
