Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Providence County
    4. ›
  4. 02910
    5. ›
  5. CODAC, INC.

CODAC, INC.

Company Details

Name: CODAC, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Jul 1971 (54 years ago)
Identification Number: 000029943
ZIP code: 02910
County: Providence County
Principal Address: 1052 PARK AVENUE, CRANSTON, RI, 02910, USA
Purpose: SUBSTANCE ABUSE TREATMENT AND PREVENTION
NAICS: 622210 - Psychiatric and Substance Abuse Hospitals
Fictitious names: Problem Gambling Services of RI (trading name, 2023-04-03 - )
Tobacco Treatment Services of RI (trading name, 2023-04-03 - )
CODAC Behavioral Healthcare (trading name, 2023-04-03 - )
Historical names: CRANSTON COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC.
COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992530109 2024-09-06 2024-09-06 1052 PARK AVE, CRANSTON, RI, 029103225, US 45 ROYAL LITTLE DR, PROVIDENCE, RI, 029041882, US

Contacts
Phone +1 401-275-5038
Fax 4019423590

Authorized person
Name MS. ALISHA M BOURDEAU
Role CHIEF FINANCIAL OFFICER
Phone 4012755038

Taxonomy
Taxonomy Code 251K00000X - Public Health or Welfare Agency
Is Primary No
Taxonomy Code 261QM2800X - Methadone Clinic
Is Primary Yes
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CODAC, INC. 403(B) PLAN 2023 050414696 2024-09-26 CODAC, INC. 184
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
CODAC, INC. EMPLOYEE BENEFITS PLAN 2020 050414696 2022-01-20 CODAC, INC. 161
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-05-01
Business code 621420
Sponsor’s telephone number 4014615056
Plan sponsor’s mailing address 1052 PARK AVENUE, CRANSTON, RI, 02910
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Number of participants as of the end of the plan year
Active participants 166
CODAC, INC. EMPLOYEE BENEFITS PLAN 2019 050414696 2021-01-25 CODAC, INC. 155
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-05-01
Business code 621420
Sponsor’s telephone number 4014615056
Plan sponsor’s mailing address 1052 PARK AVENUE, CRANSTON, RI, 02910
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Number of participants as of the end of the plan year
Active participants 161
CODAC, INC. RETIREMENT PLAN 2014 050414696 2016-03-23 CODAC, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038
CODAC, INC. RETIREMENT PLAN 2013 050414696 2015-01-07 CODAC, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2015-01-07
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2012 050414696 2014-03-19 CODAC, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2014-03-19
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2011 050414696 2014-02-13 CODAC, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2014-02-13
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2011 050414696 2013-02-20 CODAC, INC. 87
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2013-02-20
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2010 050414696 2012-01-06 CODAC, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2012-01-06
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2009 050414696 2011-03-14 CODAC, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2011-03-14
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN F. DEL SESTO, ESQ. Agent ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
JOSEPH KETTELLE TREASURER 1052 PARK AVENUE CRANSTON, RI 02910 USA

SECRETARY

Name Role Address
NOAH BENEDICT SECRETARY 1052 PARK AVENUE CRANSTON, RI 02910 USA

CEO

Name Role Address
LINDA HURLEY CEO 1052 PARK AVENUE CRANSTON, RI 02910 USA

CFO

Name Role Address
ALISHA BOURDEAU CFO 1052 PARK AVENUE CRANSTON, RI 02910 USA

CHAIRMAN

Name Role Address
SANDRA DELSESTO CHAIRMAN 1052 PARK AVENUE CRANSTON, RI 02910 USA

VICE CHAIRMAN

Name Role Address
IAN KNOWLES VICE CHAIRMAN 1052 PARK AVENUE CRANSTON, RI 02910 USA

COO

Name Role Address
DUSTIN ALVANAS COO 1052 PARK AVENUE CRANSTON, RI 02910 USA

DIRECTOR

Name Role Address
JACQUELYN BAGINSKI DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
ALEXANDRA GONZALEZ DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
KENNETH SEPE DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
STEPHEN IANNAZZI DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
OBED PAPP DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
JOSEPH KETTELLE DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
JULIA OHALLORAN DIRECTOR 22 ESPLANADE MIDDLETOWN, RI 02842 USA
MICHAEL FARINA DIRECTOR 36 RED BERRY CIRCLE CRANSTON, RI 02821 USA
PETER FRIEDMAN MD DIRECTOR 66 ORIOLE AVE. PROVIDENCE, RI 02906 USA
SANDRA DELSESTO DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA

Events

Type Date Old Value New Value
Merged 1996-06-07 East Bay Human Resource Corporation CODAC, INC.
Name Change 1993-12-31 COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC. CODAC, INC.
Name Change 1976-07-15 CRANSTON COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC. COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC.

Filings

Number Name File Date
202448042590 Annual Report 2024-03-07
202332199870 Fictitious Business Name Statement 2023-04-03
202332198710 Fictitious Business Name Statement 2023-04-03
202332197290 Fictitious Business Name Statement 2023-04-03
202330386740 Annual Report 2023-03-10
202328243110 Statement of Change of Registered/Resident Agent Office 2023-02-13
202221119990 Statement of Change of Registered/Resident Agent 2022-07-11
202209376850 Annual Report 2022-02-04
202198946850 Annual Report 2021-06-30
202071142120 Statement of Change of Registered/Resident Agent 2020-11-03

Related by officers

STEPHEN F. DEL SESTO, ESQ.

Rhode Island Mooring Services, Inc. UNETIXS VASCULAR, INC. ConceptEvolve, LLC Water Treatment Solutions, Inc. MCH REALTY, LLC Beacon Shipping Logistics, Inc. Pytko Brothers, Inc. Stephen & Gregory Realty, Inc. E & F PROPERTY MANAGEMENT, LLC CODAC HEALTHCARE, LLC

NOAH BENEDICT

SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT South County Home Health South County Hospital Healthcare System Rhode Island Primary Care Physicians Corporation The Rhode Island Quality Institute Horizon Healthcare Partners INTEGRA COMMUNITY CARE NETWORK, LLC Rhode Island Primary Care Physicians Corporation

LINDA HURLEY

The Substance Use and Mental Health Leadership Council of RI Horizon Healthcare Partners OPIOID Treatment Association of Rhode Island (OTARI)

IAN KNOWLES

AMERICAN CIVIL LIBERTIES UNION FOUNDATION OF RHODE ISLAND Welcome House of South County

STEPHEN IANNAZZI

Family Service of Rhode Island, Inc.

OBED PAPP

Latinos for Empowerment, Advancement & Development of RI

Related by address

1052 PARK AVENUE, CRANSTON, RI, 02910, USA

CODAC HEALTHCARE, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated