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Elmhurst Extended Care Facilities, Inc.

Company Details

Name: Elmhurst Extended Care Facilities, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 01 Oct 1985 (40 years ago)
Date of Dissolution: 18 Feb 2015 (10 years ago)
Date of Status Change: 18 Feb 2015 (10 years ago)
Identification Number: 000036042
ZIP code: 02908
County: Providence County
Principal Address: 825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA
Purpose: LONG TERM AND SUB-ACUTE PATIENT CARE.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164467221 2006-06-20 2007-11-27 50 MAUDE ST, PROVIDENCE, RI, 029084325, US 50 MAUDE ST, PROVIDENCE, RI, 029084325, US

Contacts

Phone +1 401-456-2623
Fax 4014566862

Authorized person

Name MR. RICHARD E. GAMACHE
Role VP/ADMINSTRATOR
Phone 4014562623

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number LTC00663
State RI
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 4105084
State RI

Agent

Name Role Address
RICHARD GAMACHE Agent 50 MAUDE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
KENNETH H BELCHER PRESIDENT 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA

DIRECTOR

Name Role Address
DONALD C. MCQUEEN DIRECTOR 3 SHADY LANE BARRINGTON, RI 02806 USA

Filings

Number Name File Date
201555190130 Revocation Certificate For Failure to File the Annual Report for the Year 2015-02-18
201449706980 Revocation Notice For Failure to File An Annual Report 2014-11-06
201324925860 Annual Report 2013-06-24
201294309110 Annual Report 2012-06-26
201180858580 Annual Report 2011-06-30
201063586180 Annual Report 2010-06-16
201055788620 Articles of Amendment 2010-01-04
200947992310 Annual Report 2009-07-03
200812072620 Annual Report 2008-06-19

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
22-2723407 Corporation Unconditional Exemption 50 MAUDE ST, PROVIDENCE, RI, 02908-4325 1987-04
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2011-12
Asset 1 to 9,999
Income 0
Filing Requirement 990 - Not required to file (all other)
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
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 ELMHURST EXTENDED CARE FACILITY INC
EIN 22-2723407
Tax Period 201512
Filing Type P
Return Type 990EZ
File View File

Date of last update: 07 Apr 2025

Sources: Rhode Island Department of State