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  5. Blackstone Valley Community Health Care, Inc.

Blackstone Valley Community Health Care, Inc.

Company Details

Name: Blackstone Valley Community Health Care, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 14 Jan 1976 (49 years ago)
Identification Number: 000029376
ZIP code: 02860
County: Providence County
Purpose: OPERATING A COMMUNITY BASED HEALTH CENTER WHICH IN 1999 HAD OVER 41,000 PATIENT VISITS.
Fictitious names: Blackstone Valley Community Health Pharmacy (trading name, 2022-03-01 - )
HealthKey (trading name, 2010-05-26 - )
Historical names: Pawtucket Neighborhood Health Centers
Pawtucket Neighborhood Health Center, Incorporated
Principal Address: Google Maps Logo 39 EAST AVENUE, PAWTUCKET, RI, 02860, USA

Contact Details

Phone +1 401-312-9826
+1 401-729-0080
+1 401-729-0081
+1 401-312-9898
+1 401-642-2093

Industry & Business Activity

NAICS

621112 Offices of Physicians, Mental Health Specialists

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians, mental health specialists

Agent

Name Role Address
DON E. WINEBERG Agent CHACE RUTTENBERG & FREEDMAN LLP ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
NORM DEGUILIO TREASURER 61 COTTAGE STREET CENTRAL FALLS, RI 02863 USA

DIRECTOR

Name Role Address
MELINDA GAUDREAU DIRECTOR 185 MAUREEN CIRCLE MAPLEVILLE, RI 02839 USA
JOHN T. GANNON ESQ. DIRECTOR 46 WILTON AVENUE PAWTUCKET, RI 02861 USA
MARIO BUENO DIRECTOR 98 FLETCHER AVENUE CRANSTON, RI 02920 USA
ALBA FIGUEROA DIRECTOR 81 METCALF STREET PROVIDENCE, RI 02904 USA
ANGELA PESARE DIRECTOR 20 STEPHEN STREET GREENVILLE, RI 02808 USA
VANESSA VIGIL DIRECTOR 42 ROWAN STREET PROVIDENCE, RI 02908 USA
RICHARD PACIA ESQ. DIRECTOR 8 OLNEY AVENUE NORTH PROVIDENCE, RI 02911 USA

PRESIDENT

Name Role Address
CRISTINA PACHECO M.D. PRESIDENT 39 EAST AVENUE PAWTUCKET, RI 02860 USA

SECRETARY

Name Role Address
DAN CORREIA SECRETARY 66 MEADOW AVENUE CUMBERLAND, RI 02864 USA

CHAIR

Name Role Address
RAUL FIGUEROA CHAIR 437 NEWPORT AVE-APT 212 QUINCY, MA 02170 USA

VICE CHAIR

Name Role Address
GABRIEL MARTINEZ VICE CHAIR 142 OAKLAND AVENUE PAWTUCKET, RI 02861 USA

National Provider Identifier

NPI Number:
1528716362
Certification Date:
2022-03-11
Link:
View on NPI website

Authorized Person:

Name:
RAYMOND J LAVOIE
Role:
EXECUTIVE DIRECTOR
Phone:
4017290080

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 401-722-0081
Fax:
4013120318

Form 5500 Series

Employer Identification Number (EIN):
510183476
Plan Year:
2014
Number Of Participants:
198
Sponsors Telephone Number:
4017290080
File:
View File
Plan Year:
2013
Number Of Participants:
196
Sponsors Telephone Number:
4017290080
File:
View File
Plan Year:
2012
Number Of Participants:
197
Sponsors Telephone Number:
4017290080
File:
View File
Plan Year:
2011
Number Of Participants:
191
Sponsors Telephone Number:
4017290080
File:
View File
Plan Year:
2010
Number Of Participants:
143
Sponsors Telephone Number:
4017290080
File:
View File

Events

Type Date Old Value New Value
Merged 1993-06-18 CHAMBER OF COMMERCE REALTY, INC. on Blackstone Valley Community Health Care, Inc.
Name Change 1990-01-02 Pawtucket Neighborhood Health Center, Incorporated Blackstone Valley Community Health Care, Inc.
Name Change 1984-07-03 Pawtucket Neighborhood Health Centers Pawtucket Neighborhood Health Center, Incorporated

Licenses

License No License Type Status Date Issued Expiration Date
CO.9905290 Charitable Organization ACTIVE No data 2025-06-23
CO.9400035 Charitable Organization INACTIVE No data 1992-01-13
ACF01651-01 Organized Amb. Care Premises Active 2023-07-17 2025-12-31
ACF01651 Organized Amb. Care Facility Active 2023-07-17 2025-12-31
PHA00696 Pharmacy -Retail Active 2022-03-30 2025-09-30

Filings

Number Name File Date
202446575900 Annual Report 2024-02-16
202328103450 Annual Report 2023-02-10
202211879400 Fictitious Business Name Statement 2022-03-01
202211848550 Annual Report - Amended 2022-03-01
202208764270 Annual Report 2022-01-27

Uniform Commercial Code

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.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202430919640
Filing Date:
2024-08-16
Action:
Assignment

Parties

Party Name:
Blackstone Valley Community Health Care, Inc.
Party Role:
Debtor(s)
Party Name:
Rhode Island Health and Educational Building Corporation
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202430919730
Filing Date:
2024-08-16
Action:
InitialFiling

Parties

Party Name:
Blackstone Valley Community Health Care, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202430139390
Filing Date:
2024-01-29
Action:
InitialFiling

Parties

Party Name:
Blackstone Valley Community Health Care, Inc.
Party Role:
Debtor(s)
Party Name:
De Lage Landen Financial Services, Inc.
Party Role:
Secured Parties

Expenditures

Agency Date Program Subprogram Amount
Office of the General Treasurer 2025-04-18 CRIME VICTIM COMPENSATION PROGRAM Operations 80.0
Department of Health 2025-04-15 Community and Family Health and Equity Chronic Care and Disease Management 72.98
Department of Health 2025-04-08 CENTRAL MANAGEMENT New Sub 5354.69
Department of Health 2025-04-01 CENTRAL MANAGEMENT New Sub 7475.38
Department of Health 2025-03-28 Community and Family Health and Equity Preventitive Services and Community Practices 649.28

USAspending Awards / Financial Assistance

Date:
2020-04-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2724670.00
Total Face Value Of Loan:
2724670.00

Tax Exempt

Employer Identification Number (EIN) :
51-0183476
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1976-03
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2724670
Current Approval Amount:
2724670
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
2756079.39

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MARIO BUENO

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ALBA FIGUEROA

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RAUL FIGUEROA

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GABRIEL MARTINEZ

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VANESSA VIGIL

Trinity Repertory Company Diversity & Inclusion Professionals, Inc.

Related by address

39 EAST AVENUE, PAWTUCKET, RI, 02860, USA

eCHC

Date of last update: 17 May 2025

Sources: Rhode Island Department of State

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