| Name: | Steere House |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Jan 1875 (150 years ago) |
| Identification Number: | 000029738 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 100 BORDEN STREET, PROVIDENCE, RI, 02903, USA |
| Purpose: | ENACTED BY THE GENERAL ASSEMBLY DURING THE JANUARY SESSION OF 1875. NURSING AND REHABILITATION HOME JANUARY SESSION 1875 |
| NAICS: | 624120 - Services for the Elderly and Persons with Disabilities |
| Fictitious names: |
Steere House Nursing and Rehabilitation Center (trading name, 2024-08-29 - ) |
| Historical names: |
The Home for Aged Men Home for Aged Men and Aged Couples Home for the Aged Home for the Aged in Providence |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730219619 | 2007-03-07 | 2007-12-11 | 100 BORDEN ST, PROVIDENCE, RI, 029034803, US | 100 BORDEN ST, PROVIDENCE, RI, 029034803, US | |||||||||||||||||||||||||
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| Phone | +1 401-454-7970 |
| Fax | 4018317570 |
Authorized person
| Name | MRS. DIANNE BOURGET |
| Role | DIRECTOR OF FINANCE |
| Phone | 4014547970 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00668 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105091 |
| State | RI |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5493000VRK8S3JVCHI90 | 000029738 | US-RI | GENERAL | ACTIVE | 2014-01-13 | |||||||||||||||||||
|
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| Legal | C/O JULIE H. RICHARD, PROVIDENCE, US-RI, US, 02903 |
| Headquarters | 100 Borden Street, Providence, US-RI, US, 02903 |
Registration details
| Registration Date | 2014-01-13 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2023-03-21 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000029738 |
| Name | Role | Address |
|---|---|---|
| JOSHUA SEGAL | Agent | 100 BORDEN STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| LINDA M CANNISTRA BS MBA CCR | PRESIDENT | 87 RIDGE ROAD SMITHFIELD, RI 02917 USA |
| Name | Role | Address |
|---|---|---|
| NORMA OWENS | TREASURER | 133 CAMDEN COURT WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| DIANE STEERE NOBLES | SECRETARY | 17 EAST POND ROAD NARRAGANSETT, RI 02882 USA |
| Name | Role | Address |
|---|---|---|
| CAROL MCMAHON | DIRECTOR | 89 YALE AVENUE WARWICK, RI 02888 USA |
| JONATHON L CABOT | DIRECTOR | 17 BIRCHTREE DRIVE JOHNSTON, RI 02919 USA |
| DEBRA PAGE-TRIM | DIRECTOR | 2 FAIRWAY DRIVE BARRINGTON, RI 02806 USA |
| TIMOTHY J REINER | DIRECTOR | PO BOX 463 CHEPACHET, RI 02814 USA |
| MARK SCHWAGER | DIRECTOR | 1425 DIPLOMAT DR EAST GREENWICH, RI 02818 USA |
| CAROL YARNEL | DIRECTOR | 40 HONEYSUCKLE ROAD WARWICK, RI 02888 USA |
| ANDREW SPACONE | DIRECTOR | 648 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| PAUL ASTPHAN | VICE PRESIDENT | 17 ADAMSDALE AVE ATTLEBORO, MA 02703 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1981-01-02 | Home for the Aged in Providence | Steere House |
| Name Change | 1968-01-02 | Home for the Aged | Home for the Aged in Providence |
| Name Change | 1966-01-02 | Home for Aged Men and Aged Couples | Home for the Aged |
| Name Change | 1908-01-02 | The Home for Aged Men | Home for Aged Men and Aged Couples |
| Number | Name | File Date |
|---|---|---|
| 202459135360 | Fictitious Business Name Statement | 2024-08-29 |
| 202453811710 | Annual Report | 2024-05-03 |
| 202327291950 | Annual Report | 2023-02-02 |
| 202218383540 | Statement of Change of Registered/Resident Agent | 2022-06-08 |
| 202215517100 | Annual Report | 2022-04-18 |
| 202199195400 | Annual Report | 2021-07-08 |
| 202044349660 | Annual Report | 2020-07-08 |
| 201900011620 | Annual Report | 2019-06-27 |
| 201871354870 | Annual Report | 2018-06-29 |
| 201746622640 | Annual Report | 2017-06-23 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
