| Name: | Cornerstone Adult Services, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Feb 1974 (51 years ago) |
| Identification Number: | 000029279 |
| ZIP code: | 02889 |
| County: | Kent County |
| Principal Address: | 140 WARWICK NECK AVENUE, WARWICK, RI, 02889, USA |
| Purpose: | TO HELP OLDER PEOPLE AND IMPAIRED ADULTS LIVE TO THEIR OPTIMUM LEVEL OF HEALING |
| NAICS: | 624120 - Services for the Elderly and Persons with Disabilities |
| Fictitious names: |
Saint Elizabeth Adult Day Centers (trading name, 2021-07-29 - ) |
| Historical names: |
The Warwick Central Geriatric Center, Inc. Central Adult Daycare Services, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861788457 | 2011-06-22 | 2011-06-22 | 140 WARWICK NECK AVE, WARWICK, RI, 028895308, US | 140 WARWICK NECK AVE, WARWICK, RI, 028895308, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-739-2844 |
| Fax | 4017395388 |
Authorized person
| Name | DORIS A. SANTAGATA |
| Role | ADMINISTRATOR |
| Phone | 4017392844 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 806.00 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RESPITE C CARE PROVIDER VENDOR NUMBER |
| Number | 31 |
| State | RI |
| Issuer | VA CONTRACT AWARD NUMBER |
| Number | V650P-3665 |
| State | RI |
| Issuer | MEDICAID |
| Number | CA03373 |
| State | RI |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 51E84 | Active | Non-Manufacturer | 2008-03-31 | 2024-02-26 | 2029-02-05 | 2025-01-22 | |||||||||||||||
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| POC | GERI MANNING |
| Phone | +1 401-739-2844 |
| Fax | +1 401-739-5388 |
| Address | 140 WARWICK NECK AVE, WARWICK, KENT, RI, 02889 5308, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| SANDRA MATRONE MACK | Agent | 10 WEYBOSSET STREET SUITE 905, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MATTHEW TRIMBLE | CEO | 2364 POST RD STE 100 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| STEVEN W. TILLEY | CHAIR | 602 EAST SHORE RD JAMESTOWN, RI 02835 USA |
| Name | Role | Address |
|---|---|---|
| CLAIRE C. FLAHERTY | VICE CHAIR | 936 BUTTONWOODS AVENUE WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| STEVEN H. KITCHIN | TREASURER | ONE NEW ENGLAND TECH BLVD EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| JUDY W. VIGAR | SECRETARY | 7 LARCH AVENUE NARRAGANSETT, RI 02882 USA |
| Name | Role | Address |
|---|---|---|
| CRAIG W. CARPENTER | DIRECTOR | 29 SOUTH POND DRIVE COVENTRY, RI 02816 USA |
| MARK J. PROVOST | DIRECTOR | PO BOX 444 EAST GREENWICH, RI 02818 USA |
| TIMOTHY MURRAY | DIRECTOR | 221 BROADWAY PROVIDENCE, RI 02903 USA |
| KRISTEN L. DISANTO | DIRECTOR | 23 BROAD ST. WESTERLY, RI 02891 USA |
| FREDERICK G. HARRISON | DIRECTOR | 19 CHANNEL VW., UNIT 2 WARWICK, RI 02889 USA |
| KIMBERLEY RANALLI | DIRECTOR | 100 SOCKANOSSET CROSSROAD, RDC170 CRANSTON, RI 02920 USA |
| PETER HOLLMAN, MD | DIRECTOR | 74 FORT AVE. CRANSTON, RI 02905 USA |
| ROBIN DZIUBA | DIRECTOR | ONE CITIZENS PLAZA, SUITE 1000 PROVIDENCE, RI 02903 USA |
| E. PAUL LARRAT, PH.D. R.PH. | DIRECTOR | 853 GILBERT STUART RD. SAUNDERSTOWN, RI 02874 USA |
| SCOTT SEABACK | DIRECTOR | 56 MAPLE STREET WARWICK, RI 02886 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1998-05-22 | Central Adult Daycare Services, Inc. | Cornerstone Adult Services, Inc. |
| Name Change | 1989-04-18 | The Warwick Central Geriatric Center, Inc. | Central Adult Daycare Services, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202447563690 | Annual Report - Amended | 2024-02-29 |
| 202447387250 | Annual Report | 2024-02-27 |
| 202335936940 | Statement of Change of Registered/Resident Agent | 2023-05-22 |
| 202334907040 | Annual Report | 2023-05-01 |
| 202215502070 | Annual Report | 2022-04-22 |
| 202199610110 | Fictitious Business Name Statement | 2021-07-29 |
| 202198861810 | Annual Report | 2021-06-30 |
| 202043230310 | Annual Report | 2020-06-24 |
| 201903340420 | Annual Report | 2019-07-11 |
| 201872631600 | Annual Report | 2018-07-20 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
