| Name: | Riverwood Mental Health Services |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Merged Into An Entity Of Record |
| Date of Organization in Rhode Island: | 22 Apr 1982 (43 years ago) |
| Date of Dissolution: | 02 Jun 2017 (8 years ago) |
| Date of Status Change: | 02 Jun 2017 (8 years ago) |
| Identification Number: | 000035606 |
| ZIP code: | 02885 |
| County: | Bristol County |
| Principal Address: | 25 RAILROAD AVENUE, WARREN, RI, 02885, USA |
| Purpose: | PROVIDER OF COMMUNITY MENTAL HEALTH SERVICES |
| Historical names: |
Riverwood Rehabilitation Services, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366501603 | 2006-12-06 | 2020-08-22 | 25 RAILROAD AVE, PO BOX 226, WARREN, RI, 028853206, US | 25 RAILROAD AVE, WARREN, RI, 028853206, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 401-247-4278 |
Authorized person
| Name | DANIEL J KUBAS-MEYER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4012474278 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | L-9010 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | RR02205 |
| State | RI |
| Issuer | MEDICAID |
| Number | RR02204 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DANIEL J. KUBAS-MEYER | Agent | 40 CENTENNIAL AVENUE, BARRINGTON, RI, 02806, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL TAUBER | PRESIDENT | 50 KENNEDY PLAZA PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER FRIEL | TREASURER | 6 OLD RIVER RD BARRINGTON, RI 02806 USA |
| Name | Role | Address |
|---|---|---|
| CAROLYN SOUZA | SECRETARY | 28 CARPENTER ST TIVERTON, RI 02878 USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN GRUMBLEY | VICE PRESIDENT | 64 NATHANAEL AVE PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| JESSICA CIGNA | DIRECTOR | 150 DEXTERDALE RD PROVIDENCE, RI 02906 USA |
| PATRICIA ONOFRIO | DIRECTOR | 198 BRAMANS LANE PORTSMOUTH, RI 02871 USA |
| SANDRA HAYWOOD | DIRECTOR | 313 IRON HORSE WAY PROVIDENCE, RI 02908 USA |
| JOHN SULLIVAN | DIRECTOR | PO BOX 450 NEWPORT, RI 02840 USA |
| ROBERT WADDICOR | DIRECTOR | 31 ANN AVENUE PORTSMOUTH, RI 02871 USA |
| AMY SKURKA | DIRECTOR | 107 SCENERY LANE JOHNSTON, RI 02919 US |
| BETSY DEES | DIRECTOR | 105 IMMOKELEE DR PORTSMOUTH, RI 02871 USA |
| CAROL GILIBERTO | DIRECTOR | 82 OAKHILL AVE PAWTUCKET, RI 02860 USA |
| SCOTT KWARTA | DIRECTOR | 5 MITRIS BLVD LINCOLN, RI 02865 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2017-06-02 | Riverwood Mental Health Services | Thrive Behavioral Health Inc. on |
| Name Change | 2002-08-02 | Riverwood Rehabilitation Services, Inc. | Riverwood Mental Health Services |
| Number | Name | File Date |
|---|---|---|
| 201699764190 | Annual Report | 2016-06-03 |
| 201562374170 | Annual Report | 2015-06-02 |
| 201440772830 | Annual Report | 2014-06-10 |
| 201321530760 | Annual Report | 2013-05-24 |
| 201293975640 | Annual Report | 2012-06-13 |
| 201180360100 | Annual Report | 2011-06-22 |
| 201064809260 | Annual Report | 2010-07-21 |
| 200945754280 | Annual Report | 2009-06-24 |
| 200812077030 | Annual Report | 2008-06-19 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
