| Name: | UNITED CEREBRAL PALSY OF RHODE ISLAND, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Jul 1954 (71 years ago) |
| Identification Number: | 000031868 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 200 MAIN STREET UCP RHODE ISLAND SUITE 210, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO PROVIDE HUMAN SERVICES TO PERSONS WITH CEREBRAL PALSY AND OTHER DISABILITIES 116 |
| NAICS: | 624120 - Services for the Elderly and Persons with Disabilities |
| Fictitious names: |
NEW ENGLAND WELLNESS COLLABORATIVE (trading name, 2022-05-26 - ) UCPRI FOR SOCIAL SECURITY/SSI BENEFICIARIES (trading name, 2019-06-11 - ) Life Without Limits Home Health Care (trading name, 2010-02-09 - 2019-06-11) UCP Rhode Island (trading name, 2002-06-10 - ) UCPRI (trading name, 2000-07-17 - ) UCP-RI (trading name, 2000-03-21 - ) United Cerebral Palsy of Rhode Island (trading name, 2000-03-21 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124585427 | 2019-02-23 | 2022-04-19 | 1 RICHMOND SQ STE 321W, PROVIDENCE, RI, 029065156, US | 1 RICHMOND SQ STE 321W, PROVIDENCE, RI, 029065156, US | |||||||||||||
|
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| Phone | +1 508-812-0613 |
Authorized person
| Name | KRYSTAL VASCONCELOS |
| Role | DIRECTOR OF CLINICAL OPERATIONS |
| Phone | 5088120613 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 403(B) THRIFT PLAN OF UNITED CEREBRAL PALSY OF RHODE ISLAND, INC. | 2018 | 050285815 | 2019-07-11 | UNITED CEREBRAL PALSY OF RHODE ISLAND, INC. | 69 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-07-11 |
| Name of individual signing | KARL PROVOST |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PETER QUATTROMANI | Agent | 200 MAIN STREET SUITE 210 P.O. BOX 36, PAWTUCKET, RI, 02862, USA |
| Name | Role | Address |
|---|---|---|
| SCOTT MARTIN | PRESIDENT | 110 PANTO ROAD WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| PETER QUATTROMANI | CEO | 200 MAIN STREET SUITE 210 PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| KARL PROVOST | CFO | 200 MAIN STREET SUITE 210 PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| JEFFREY KASLE | DIRECTOR | 530 GREENWICH AVENUE WARWICK, RI 02886 USA |
| IAN RIDLON | DIRECTOR | 501 WAMPANOAG TRAIL, SUITE 301 EAST PROVIDENCE, RI 02915 USA |
| PETER BAZIOTIS MD | DIRECTOR | 200 MAIN STREET, SUITE 350 PAWTUCKET, RI 02860 USA |
| ELENA NICOLELLA | DIRECTOR | 293 PROMENADE STREET, SUITE 455 PROVIDENCE, RI 02903 USA |
| ERIC BIRNIE | DIRECTOR | 4119 BALD CYPRESS DRIVE DELAND, FL 32724 USA |
| Name | Role | Address |
|---|---|---|
| LUKE BRUNEAUX | VICE PRESIDENT | 195 MODENA AVENUE PROVIDENCE, RI 02908 USA |
| Name | Role | Address |
|---|---|---|
| STACEY JOHNSON | SECRETARY | 203 RIDGE ROAD SMITHFIELD, RI 02917 USA |
| Name | Role | Address |
|---|---|---|
| BROOKE ROSSI | TREASURER | 5 BLACK HAWK TRAIL SMITHFIELD, RI 02917 USA |
| Number | Name | File Date |
|---|---|---|
| 202447359040 | Annual Report | 2024-02-28 |
| 202330187860 | Annual Report | 2023-03-08 |
| 202217876520 | Fictitious Business Name Statement | 2022-05-26 |
| 202215201360 | Annual Report | 2022-04-19 |
| 202198792790 | Annual Report | 2021-06-29 |
| 202041125140 | Annual Report | 2020-05-29 |
| 201996239120 | Fictitious Business Name Statement | 2019-06-11 |
| 201996236930 | Statement of Abandonment of Use of Fictitious Business Name | 2019-06-11 |
| 201996074370 | Annual Report | 2019-06-10 |
| 201868442780 | Annual Report | 2018-06-04 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
