| Name: | Hattie Ide Chaffee Nursing Home Inc |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Jun 1948 (77 years ago) |
| Identification Number: | 000028527 |
| ZIP code: | 02915 |
| County: | Providence County |
| Purpose: | LONG TERM NURSING HOME CARE |
| Fictitious names: |
Hattie Ide Chaffee Home (trading name, 2022-09-20 - ) |
| Historical names: |
Rhode Island Cancer Society Convalescent Home Hattie Ide Chaffee Nursing Home |
| Principal Address: |
200 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA
|
| Phone |
+1 401-434-1520 |
NAICS
622310 Specialty (except Psychiatric and Substance Abuse) HospitalsThis industry comprises establishments known and licensed as specialty hospitals primarily engaged in providing diagnostic and medical treatment to inpatients with a specific type of disease or medical condition (except psychiatric or substance abuse). Hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation, restorative, and adjustive services to physically challenged or disabled people are included in this industry. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. They have an organized staff of physicians and other medical staff to provide patient care services. These hospitals may provide other services, such as outpatient services, diagnostic X-ray services, clinical laboratory services, operating room services, physical therapy services, educational and vocational services, and psychological and social work services. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| BARRY B. ZELTZER, PHD | Agent | 200 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915, USA |
| Name | Role | Address |
|---|---|---|
| DAVID R MATERNE | PRESIDENT | 6 DANA ROAD BARRINGTON, RI 02806 USA |
| Name | Role | Address |
|---|---|---|
| AMY GULDHAUGE | TREASURER | 60 CATAMORE BLVD EAST PROVIDENCE, RI 02914 USA |
| Name | Role | Address |
|---|---|---|
| TEDFORD B RADWAY | SECRETARY | 1738 BROAD ST CRANSTON, RI 02905 USA |
| Name | Role | Address |
|---|---|---|
| KAREN RICE | VICE PRESIDENT | 951 NORTH MAIN STREET PROVIDENCE, RI 02806 USA |
| Name | Role | Address |
|---|---|---|
| KIMBERLY SERRA | DIRECTOR | 735 WILLETT AVENUE RIVERSIDE, RI 02915 USA |
| SHARLEEN BOWEN | DIRECTOR | 172 NAYATT ROAD BARRINGTON, RI 02806 USA |
| MICHAEL REUTER DPM | DIRECTOR | 950 WARREN AVENUE EAST PROVIDENCE, RI 02915 USA |
| BENJAMIN CHWALK | DIRECTOR | 3 WOOLETT COURT BARRINGTON, RI 02806 USA |
| PETER J MINIATI | DIRECTOR | 9 ELIZABETH ROAD BARRINGTON, RI 02806 USA |
| CHRISTINA SCOLA | DIRECTOR | 301 PROMENADE STREET PROVIDENCE, RI 02908 USA |
| JAY GREGORY | DIRECTOR | 40 FAIRWAY DRIVE SEEKONK, RI 02771 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2019-12-04 | Hattie Ide Chaffee Nursing Home | Hattie Ide Chaffee Nursing Home Inc |
| Name Change | 1950-04-10 | Rhode Island Cancer Society Convalescent Home | Hattie Ide Chaffee Nursing Home |
| License No | License Type | Status | Date Issued | Expiration Date |
|---|---|---|---|---|
| FSV03778 | Food Service (Non-Profit) | Active | 1992-06-09 | 2026-04-30 |
| LTC00223 | Nursing Facility | Active | 1909-10-18 | 2025-12-31 |
| Number | Name | File Date |
|---|---|---|
| 202451685610 | Annual Report | 2024-04-19 |
| 202328404610 | Annual Report | 2023-02-15 |
| 202222913830 | Fictitious Business Name Statement | 2022-09-20 |
| 202219948450 | Statement of Change of Registered/Resident Agent | 2022-06-24 |
| 202212598580 | Annual Report | 2022-03-10 |
The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.
A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a
secured party.
| Inspection Type | Performed By | Inspection Date | Inspection Purpose |
|---|---|---|---|
| Food Establishment Inspection | Rhode Island Department of Health, Center for Food Protection | 2025-02-04 | Routine |
| Food Establishment Inspection | Rhode Island Department of Health, Center for Food Protection | 2024-02-05 | Routine |
| Food Establishment Inspection | Rhode Island Department of Health, Center for Food Protection | 2023-07-06 | Routine |
| Agency | Date | Program | Subprogram | Amount |
|---|---|---|---|---|
| Office of Health and Human Services | 2025-02-18 | Central Management | Operations | 3000.0 |
| Department of Labor and Training | 2024-08-20 | WORKFORCE DEVELOPMENT SERVICES | JTPA & OTHER TRAINING PROGRAMS | 600.0 |
| Department of Administration | 2024-07-12 | CENTRAL MANAGEMENT | DIRECTOR'S OFFICE | 48309.0 |
| Department of Labor and Training | 2024-05-28 | WORKFORCE DEVELOPMENT SERVICES | JTPA & OTHER TRAINING PROGRAMS | 600.0 |
| Department of Administration | 2022-12-23 | CENTRAL MANAGEMENT | DIRECTOR'S OFFICE | 129175.66 |
Date of last update: 17 May 2025
Sources: Rhode Island Department of State
