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Scandinavian Home, Inc.

Company Details

Name: Scandinavian Home, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 12 May 1930 (95 years ago)
Identification Number: 000030972
ZIP code: 02905
County: Providence County
Principal Address: 1811 BROAD STREET, CRANSTON, RI, 02905, USA
Purpose: SKILLED NURSING FACILITY AND ASSISTED LIVING FACILITY
Fictitious names: Scandinavian Communities (trading name, 2017-11-20 - )
Historical names: The Scandinavian Old Peoples Home Association of Rhode Island, Incorporated
Scandinavian Home Inc.
SCANDINAVIAN HOME FOR THE AGED

Industry & Business Activity

NAICS

624120 Services for the Elderly and Persons with Disabilities

This industry comprises establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922031665 2006-07-08 2008-01-23 1811 BROAD STREET, CRANSTON, RI, 02905, US 1811 BROAD ST, CRANSTON, RI, 029053533, US

Contacts

Phone +1 401-461-1433
Fax 4014614005

Authorized person

Name MRS. LINDA TUCKER
Role ADMINISTRATOR
Phone 4014611433

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 00390
State RI
Is Primary Yes

Other Provider Identifiers

Issuer UNITED HEALTH PROVIDER NU
Number 740800
State RI
Issuer BLUE CHIP PROVIDER NUMBER
Number 405363
State RI
Issuer BLUE CROSS PROVIDER NUMBE
Number 54375
State RI
Issuer MEDICAID
Number 4105051
State RI

Agent

Name Role Address
SUZANNE M. CESANA Agent 1811 BROAD STREET, CRANSTON, RI, 02905, USA

PRESIDENT

Name Role Address
PAUL SWANSON PRESIDENT 1811 BROAD STREET CRANSTON, RI 02905 USA

TREASURER

Name Role Address
WAYNE KEZIRIAN TREASURER 1811 BROAD STREET CRANSTON, RI 02905 USA

SECRETARY

Name Role Address
RONALD S. OSHBERG SECRETARY 1811 BROAD STREET CRANSTON, RI 02905 USA

VICE PRESIDENT

Name Role Address
JOEL JOHNSON VICE PRESIDENT 1811 BROAD STREET CRANSTON, RI 02905 USA

DIRECTOR

Name Role Address
PAUL CALITRI DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA
KATHERINE DESIMONE DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA
JEAN LARKIN DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA
SAMANTHA MCCARTHY DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA
LEIF RESLOW DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA
PATRICIA THOMAS DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA
ALLEN R. WATERS DIRECTOR 1811 BROAD STREET CRANSTON, RI 02905 USA

Events

Type Date Old Value New Value
Name Change 1992-07-14 SCANDINAVIAN HOME FOR THE AGED Scandinavian Home, Inc.
Name Change 1962-12-07 Scandinavian Home Inc. SCANDINAVIAN HOME FOR THE AGED
Name Change 1955-05-27 The Scandinavian Old Peoples Home Association of Rhode Island, Incorporated Scandinavian Home Inc.

Filings

Number Name File Date
202446517720 Annual Report 2024-02-15
202341757050 Annual Report - Amended 2023-09-18
202339071980 Annual Report 2023-07-05
202338411020 Revocation Notice For Failure to File An Annual Report 2023-06-20
202210122930 Annual Report 2022-02-11
202101954930 Statement of Change of Registered/Resident Agent 2021-09-22
202198650900 Annual Report 2021-06-25
202043740990 Annual Report 2020-06-29
201906912570 Annual Report 2019-07-23
201878117720 Statement of Change of Registered/Resident Agent 2018-09-24

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0262584 Corporation Unconditional Exemption 1811 BROAD ST, CRANSTON, RI, 02905-3533 1951-03
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 11606562
Income Amount 10458417
Form 990 Revenue Amount 9509216
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SCANDINAVIAN HOME INC
EIN 05-0262584
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7130997107 2020-04-14 0165 PPP 1811 BROAD ST, CRANSTON, RI, 02905-3533
Loan Status Date 2021-03-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1152555
Loan Approval Amount (current) 1152555
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CRANSTON, PROVIDENCE, RI, 02905-3533
Project Congressional District RI-02
Number of Employees 109
NAICS code 624120
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1161455.29
Forgiveness Paid Date 2021-02-02

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State