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  5. Sargent Rehabilitation Center

Sargent Rehabilitation Center

Company Details

Name: Sargent Rehabilitation Center
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Oct 1927 (97 years ago)
Identification Number: 000030934
ZIP code: 02818
County: Kent County
Principal Address: 800 QUAKER LANE, WARWICK, RI, 02818, USA
Purpose: OUTPATIENT MEDICAL AND EDUCATIONAL REHABILIATION
NAICS: 611110 - Elementary and Secondary Schools
Historical names: The Francis B. Sargent Rehabilitation Center for Communication Disorders

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609853431 2005-12-22 2010-04-23 800 QUAKER LN, WARWICK, RI, 028181667, US 800 QUAKER LN, WARWICK, RI, 028181667, US

Contacts
Phone +1 401-886-6600
Fax 4018866632

Authorized person
Name MR. NORMAND C CAYA
Role VICE PRESIDENT
Phone 4018866600

Taxonomy
Taxonomy Code 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number SR21880
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARGENT REHABILITATION CENTER BENEFIT CONTRIBUTION PLAN 2021 050258936 2022-04-20 SARGENT REHABILITATION CENTER 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866600
Plan sponsor’s DBA name SARGENT REHABILITATION CENTER
Plan sponsor’s address 800 QUAKER LN, EAST GREENWICH, RI, 028181667

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing MARY SHEPARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-20
Name of individual signing MARY SHEPARD
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER BENEFIT CONTRIBUTION PLAN 2020 050258936 2021-05-13 SARGENT REHABILITATION CENTER 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866616
Plan sponsor’s address 800 QUAKER LN, EAST GREENWICH, RI, 028181667

Signature of
Role Plan administrator
Date 2021-05-13
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-13
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER BENEFIT CONTRIBUTION PLAN 2019 050258936 2020-03-18 SARGENT REHABILITATION CENTER 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Signature of
Role Plan administrator
Date 2020-03-18
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-18
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED BENEFIT CONTRIBUTION PLAN 2018 050258936 2019-04-08 SARGENT REHABILITATION CENTER 72
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s address 800 QUAKER LN, EAST GREENWICH, RI, 028181667

Signature of
Role Plan administrator
Date 2019-04-08
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-08
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED CONTRIBUTION PLAN 2016 050258936 2017-02-27 SARGENT REHABILITATION CENTER 69
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Signature of
Role Plan administrator
Date 2017-02-27
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-27
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED CONTRIBUTION PLAN 2015 050258936 2016-03-09 SARGENT REHABILITATION CENTER 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LN, WARWICK, RI, 02818

Signature of
Role Plan administrator
Date 2016-03-09
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-09
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED CONTRIBUTION PLAN 2014 050258936 2015-04-01 SARGENT REHABILITATION CENTER 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Signature of
Role Plan administrator
Date 2015-04-01
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-01
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED CONTRIBUTION PLAN 2013 050258936 2014-04-22 SARGENT REHABILITATION CENTER 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Signature of
Role Plan administrator
Date 2014-04-22
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED CONTRIBUTION PLAN 2012 050258936 2013-07-08 SARGENT REHABILITATION CENTER 65
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
SARGENT REHABILITATION CENTER DEFINED CONTRIBUTION PLAN 2011 050258936 2012-08-23 SARGENT REHABILITATION CENTER 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050258936
Plan administrator’s name SARGENT REHABILITATION CENTER
Plan administrator’s address 800 QUAKER LANE, WARWICK, RI, 02818
Administrator’s telephone number 4018866617

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727153315P030101710129001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050258936
Plan administrator’s name SARGENT REHABILITATION CENTER
Plan administrator’s address 800 QUAKER LANE, WARWICK, RI, 02818
Administrator’s telephone number 4018866617

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/27/20100727124307P070024805154001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-09-01
Business code 621498
Sponsor’s telephone number 4018866617
Plan sponsor’s DBA name SAME
Plan sponsor’s address 800 QUAKER LANE, WARWICK, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050258936
Plan administrator’s name SARGENT REHABILITATION CENTER
Plan administrator’s address 800 QUAKER LANE, WARWICK, RI, 02818
Administrator’s telephone number 4018866617

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing STANLEY SLOWICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID A. KANE, ESQ. Agent 800 QUAKER LANE, WARWICK, RI, 02818, USA

PRESIDENT

Name Role Address
DAVID A. KANE PRESIDENT 800 QUAKER LANE WARWICK, RI 02818 USA

TREASURER

Name Role Address
ROBERT J. GERVASINI TREASURER 9 HAMILTON ROAD WESTERLY, RI 02891 USA

DIRECTOR

Name Role Address
DANIEL FLAHERTY DIRECTOR 33 COLLEGE HILL ROAD STE 20D WARWICK, RI 02886 USA
STEPHEN PASQUAZZI DIRECTOR 65 RIVER FARM DRIVE EAST GREENWICH, RI 02818 USA
KATE KISHFY DIRECTOR 47 SOUTH MEADOW LANE BARRINGTON, RI 02806 USA
ROBERT STEBENNE DIRECTOR 560 USQUEPAUGH ROAD WEST KINGSTON, RI 02892 USA
KENNETH A. DUVA DIRECTOR 11 BEACON DRIVE N. KINGSTOWN, RI 02852 USA
PRASHA SARWATE DIRECTOR 1 SAN GIOVANNI DR NORTH PROVIDENCE, RI 02911 USA
VERONICA BROWN DIRECTOR 3 SULLIVAN STREET NEWPORT, RI 02840 USA

CHAIRMAN

Name Role Address
RUSSELL HAHN CHAIRMAN 290 MAIN STREET WAKEFIELD, RI 02879 USA

Events

Type Date Old Value New Value
Name Change 1985-02-28 The Francis B. Sargent Rehabilitation Center for Communication Disorders Sargent Rehabilitation Center

Filings

Number Name File Date
202445950050 Statement of Change of Registered/Resident Agent 2024-02-07
202444778880 Annual Report 2024-01-26
202326746370 Annual Report 2023-01-27
202208265920 Annual Report 2022-01-20
202198164100 Annual Report 2021-06-11
202041285150 Annual Report 2020-06-02
201995717700 Annual Report 2019-06-07
201869904700 Annual Report 2018-06-18
201745309740 Annual Report 2017-06-12
201600433830 Annual Report 2016-06-09

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VERONICA BROWN

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Related by address

No related companies by address

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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