| Name: | St. Joseph Health Services of Rhode Island |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Jan 1970 (55 years ago) |
| Identification Number: | 000030205 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | C/O ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Purpose: | OPERATION OF A HOSPITAL JANUARY SESSION 1970 |
| Fictitious names: |
Pediatric Dental Associates (trading name, 2009-06-19 - ) |
| Historical names: |
St. Joseph Hospital |
NAICS
622110 General Medical and Surgical HospitalsThis industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1114186715 | 2008-06-09 | 2008-06-09 | 200 HIGH SERVICE AVE, 4TH FL MARION HALL, NORTH PROVIDENCE, RI, 029045113, US | 21 PEACE ST, PROVIDENCE, RI, 029071510, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-456-3309 |
| Fax | 4014563762 |
Authorized person
| Name | MR. JOHN FOGERTY |
| Role | PRESIDENT - CEO |
| Phone | 4014563309 |
Taxonomy
| Taxonomy Code | 133N00000X - Nutritionist |
| License Number | HOS00110 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 171R00000X - Interpreter |
| License Number | HOS00110 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HOS00110 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | HOS001100 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | HOS00110 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PROGROUP (NHP) |
| Number | 2127 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND 403(B) SAVINGS PLAN | 2020 | 050259026 | 2022-01-04 | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-01-04 |
| Name of individual signing | THOMAS HEMMENDINGER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-10-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 4014563000 |
| Plan sponsor’s address | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 02904 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-04 |
| Name of individual signing | DAVID HIRSCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-10-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 4014563000 |
| Plan sponsor’s address | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 02904 |
Signature of
| Role | Plan administrator |
| Date | 2019-12-02 |
| Name of individual signing | DAVID HIRSCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-10-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 4014563000 |
| Plan sponsor’s address | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 02904 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-25 |
| Name of individual signing | DAVID HIRSCH |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-10-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 4014563000 |
| Plan sponsor’s address | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 02904 |
Signature of
| Role | Plan administrator |
| Date | 2018-02-08 |
| Name of individual signing | DAVID HIRSCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-10-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 4014563000 |
| Plan sponsor’s address | 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904 |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-10-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 4014563000 |
| Plan sponsor’s address | 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904 |
Plan administrator’s name and address
| Administrator’s EIN | 050259026 |
| Plan administrator’s name | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| Plan administrator’s address | 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904 |
| Administrator’s telephone number | 4014563000 |
| Name | Role | Address |
|---|---|---|
| STEPHEN F. DEL SESTO | Agent | ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| NONE X | DIRECTOR | X X, X 02903 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2004-10-27 | H.E.L.P. LEAD SAFE CENTER, INC. on | St. Joseph Health Services of Rhode Island |
| Merged | 2003-02-27 | Healthcare Management and Billing Services, Inc. on | St. Joseph Health Services of Rhode Island |
| Name Change | 1995-07-13 | St. Joseph Hospital | St. Joseph Health Services of Rhode Island |
| Number | Name | File Date |
|---|---|---|
| 202450020700 | Statement of Change of Registered/Resident Agent Office | 2024-04-02 |
| 202447751150 | Annual Report | 2024-02-26 |
| 202328466140 | Annual Report | 2023-02-09 |
| 202325632980 | Statement of Change of Registered/Resident Agent | 2023-01-04 |
| 202214587230 | Annual Report | 2022-04-08 |
| 202198559780 | Annual Report | 2021-06-23 |
| 202043732670 | Annual Report | 2020-06-29 |
| 202033798750 | Statement of Change of Registered/Resident Agent | 2020-02-05 |
| 201994158540 | Annual Report | 2019-05-24 |
| 201866153750 | Annual Report | 2018-05-18 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | HSSS0111L0153 | 2011-06-03 | 2015-09-30 | 2015-09-30 | |||||||||||||||||||||||||||
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| Title | ANTENNA SITE LICENSE RENEWAL (MULTIPLE LOCATIONS) |
| NAICS Code | 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES) |
| Product and Service Codes | W058: LEASE-RENT OF COMMUNICATION EQ |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Legacy DUNS | 075681429 |
| Recipient Address | 200 HIGH SERVICE AVE, PROVIDENCE, 029045113, UNITED STATES |
| Unique Award Key | CONT_AWD_HSSS0110L0153_7009_-NONE-_-NONE- |
| Awarding Agency | Department of Homeland Security |
| Link | View Page |
Award Amounts
| Obligated Amount | 5560.08 |
| Current Award Amount | 5560.08 |
| Potential Award Amount | 5560.08 |
Description
| Title | ANTENNA SITE LICENSE RENEWAL |
| NAICS Code | 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES) |
| Product and Service Codes | W058: LEASE-RENT OF COMMUNICATION EQ |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Recipient Address | 200 HIGH SERVICE AVE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029045113, UNITED STATES |
| Unique Award Key | CONT_IDV_W912LD07A0036_9700 |
| Awarding Agency | Department of Defense |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 100000.00 |
Description
| Title | CHANGE OF VENDOR'S ADDRESS |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q403: EVALUATION AND SCREENING |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Recipient Address | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029045113, UNITED STATES |
| Unique Award Key | CONT_AWD_HSSS0109L0153_7009_-NONE-_-NONE- |
| Awarding Agency | Department of Homeland Security |
| Link | View Page |
Award Amounts
| Obligated Amount | 5295.36 |
| Current Award Amount | 5295.36 |
| Potential Award Amount | 5295.36 |
Description
| Title | ANTENNA SITE LICENSE RENEWAL |
| NAICS Code | 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES) |
| Product and Service Codes | W058: LEASE-RENT OF COMMUNICATION EQ |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Legacy DUNS | 075681429 |
| Recipient Address | 200 HIGH SERVICE AVE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029045113, UNITED STATES |
| Unique Award Key | CONT_IDV_W912LD08A0034_9700 |
| Awarding Agency | Department of Defense |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 100000.00 |
Description
| Title | TESTING SPECIMENS. |
| NAICS Code | 541380: TESTING LABORATORIES |
| Product and Service Codes | B537: MEDICAL AND HEALTH STUDIES |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Recipient Address | 200 HIGH SERVICE AVE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029045113, UNITED STATES |
| Unique Award Key | CONT_AWD_V650C80272_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | REGISTRATION FOR MARILYN HORAN TO ATTEND ANNUAL CO |
| Product and Service Codes | U099: OTHER ED & TRNG SVCS |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Legacy DUNS | 075681429 |
| Recipient Address | 200 HIGH SERVICE AVE, PROVIDENCE, 029045113, UNITED STATES |
| Unique Award Key | CONT_AWD_HSSS0108L0153_7009_-NONE-_-NONE- |
| Awarding Agency | Department of Homeland Security |
| Link | View Page |
Award Amounts
| Obligated Amount | 5019.36 |
| Current Award Amount | 5019.36 |
| Potential Award Amount | 5019.36 |
Description
| Title | ANTENNA SITE LICENSE RENEWAL |
| NAICS Code | 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES) |
| Product and Service Codes | W054: LEASE-RENT OF PREFAB STRUCTURES |
Recipient Details
| Recipient | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| UEI | NK12H1VMK3E6 |
| Legacy DUNS | 075681429 |
| Recipient Address | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029045113, UNITED STATES |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H75DP002301 | Department of Health and Human Services | 93.283 - CENTERS FOR DISEASE CONTROL AND PREVENTION_INVESTIGATIONS AND TECHNICAL ASSISTANCE | 2009-09-01 | 2011-08-31 | THE HEALTHLINK WELLNESS PROGRAM AIMS TO DEVELOP A COMMUNITY-BASED PREVENTATIVE M | |||||||||||||||||||||
|
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| C76HF15089 | Department of Health and Human Services | 93.887 - HEALTH CARE AND OTHER FACILITIES | 2009-08-01 | 2010-07-31 | HEALTH CARE AND OTHER FACILITIES | |||||||||||||||||||||
|
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| C76HF15093 | Department of Health and Human Services | 93.887 - HEALTH CARE AND OTHER FACILITIES | 2009-08-01 | 2010-07-31 | HEALTH CARE AND OTHER FACILITIES | |||||||||||||||||||||
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| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 782110 | 0112300 | 1984-02-04 | 21 PEACE ST, PROVIDENCE, RI, 02907 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 320077704 |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100132 A |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-05-02 |
| Current Penalty | 280.0 |
| Initial Penalty | 280.0 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Related Event Code (REC) | Complaint |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19100133 A01 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-04-30 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100020 G01 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-07-01 |
| Nr Instances | 3 |
| Nr Exposed | 3 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19100020 G02 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-07-01 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02003A |
| Citaton Type | Other |
| Standard Cited | 19100095 C01 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-06-03 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02003B |
| Citaton Type | Other |
| Standard Cited | 19100095 E |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-04-30 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02003C |
| Citaton Type | Other |
| Standard Cited | 19100095 L01 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-06-03 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02003D |
| Citaton Type | Other |
| Standard Cited | 19100095 N01 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-06-03 |
| Nr Instances | 3 |
| Nr Exposed | 3 |
| Citation ID | 02003E |
| Citaton Type | Other |
| Standard Cited | 19100095 O01 |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-06-03 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 19100219 E02 I |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-06-03 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Citation ID | 02005 |
| Citaton Type | Other |
| Standard Cited | 19100305 G01 III |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-04-30 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Citation ID | 02006 |
| Citaton Type | Other |
| Standard Cited | 19100305 G01 I |
| Issuance Date | 1984-04-27 |
| Abatement Due Date | 1984-04-30 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
