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Blackstone Health, Inc.

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Company Details

Name: Blackstone Health, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 08 Jan 1987 (39 years ago)
Identification Number: 000041462
ZIP code: 02886
City: Warwick
County: Kent County
Purpose: TO PROVIDE COMMUNITY BASED HEALTH SERVICES THAT ARE RESPONSIVE TO THE NEEDS AND DEMOGRAPHIC MAKEUP OF THE BLACKSTONE VALLEY COMMUNITY AND OTHER COMMUNITIES.
Fictitious names: New Horizons Adult Day Center (trading name, 2013-11-04 - )
Comprehensive Older Adult Services (trading name, 1997-10-08 - )
C.O.A.S.I. (trading name, 1997-10-08 - )
Historical names: Health Promotion Center Corp.
Comprehensive Older Adult Services, Inc.
Principal Address: Google Maps Logo 51 HEALTH LANE, WARWICK, RI, 02886, USA

Contact Details

Phone +1 401-727-0950
+1 401-728-9290

Industry & Business Activity

NAICS

813920 Professional Organizations

This industry comprises establishments primarily engaged in promoting the professional interests of their members and the profession as a whole. These establishments may conduct research; develop statistics; sponsor quality and certification standards; lobby public officials; or publish newsletters, books, or periodicals for distribution to their members. Learn more at the U.S. Census Bureau

Companies doing Professional organizations

CHAIR

Name Role Address
KARL SHERRY CHAIR HAYES & SHERRY, 146 WESTMINSTER ST., 2ND FLR. PROVIDENCE, RI 02903 USA

EX OFFICIO DIRECTOR

Name Role Address
MICHAEL WAGNER MD EX OFFICIO DIRECTOR 4 RICHMOND SQUARE PROVIDENCE, RI 02906 USA
JANE PIKE-BENTON EX OFFICIO DIRECTOR 51 HEALTH LANE WARWICK, RI 02886 USA

DIRECTOR

Name Role Address
F. PAUL MOONEY, JR. DIRECTOR 39 DROWNE PARKWAY RUMFORD, RI 02916 USA

Agent

Name Role Address
JANE PIKE-BENTON Agent 51 HEALTH LANE, WARWICK, RI, 02886, USA

TREASURER

Name Role Address
LOUIS CHABOT TREASURER 455 TOLL GATE ROAD WARWICK, RI 02886 USA

SECRETARY

Name Role Address
JAMES A. BRIDEN ESQ SECRETARY 144 BANK STREET ATTLEBORO, RI 02703 USA

PRESIDENT

Name Role Address
JANE PIKE-BENTON PRESIDENT 51 HEALTH LANE WARWICK, RI 02886 USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
H3SRT8JQML26
CAGE Code:
8RFC8
UEI Expiration Date:
2025-09-19

Business Information

Activation Date:
2024-09-23
Initial Registration Date:
2020-09-30

National Provider Identifier

NPI Number:
1467583534
Link:
View on NPI website

Authorized Person:

Name:
MR. THOMAS GOUGH
Role:
EXECUTIVE DIRECTOR
Phone:
4017270950

Taxonomy:

Selected Taxonomy:
261QA0600X - Adult Day Care Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 401-727-0950
Fax:
4017253053

Form 5500 Series

Employer Identification Number (EIN):
050427007
Plan Year:
2014
Number Of Participants:
18
Plan Name:
401(K)
Sponsor's telephone number:
4017292147
File:
View File
Plan Administrator / Signatory:
NANCY ROBERTS(Plan administrator)
Plan Year:
2014
Number Of Participants:
20
Plan Name:
401(K)
Sponsor's telephone number:
4017292147
File:
View File
Plan Administrator / Signatory:
NANCY ROBERTS(Plan administrator)
Plan Year:
2013
Number Of Participants:
18
Plan Name:
401(K)
Sponsor's telephone number:
4017292147
File:
View File
Plan Administrator / Signatory:
NANCY ROBERTS(Plan administrator)
Plan Year:
2012
Number Of Participants:
16
Sponsor's telephone number:
4017256444
File:
View File
Plan Administrator / Signatory:
NANCY ROBERTS(Plan administrator)
Plan Year:
2012
Number Of Participants:
13
Sponsor's telephone number:
4017292147
File:
View File
Plan Administrator / Signatory:
THOMAS GOUGH(Plan administrator)

Events

Type Date Old Value New Value
Name Change 1997-10-08 Comprehensive Older Adult Services, Inc. Blackstone Health, Inc.
Name Change 1997-07-22 Health Promotion Center Corp. Comprehensive Older Adult Services, Inc.
Merged 1997-07-22 Comprehensive Older Adult Services, Inc. on Blackstone Health, Inc.

Licenses

License No License Type Status Date Issued Expiration Date
ADC00051 Adult Day Care Program Active 2019-03-05 2027-03-31
FSV20830 Food Service (Non-Profit) Active 2001-04-16 2026-04-30
FSV05752 Food Service (Non-Profit) Active 1992-06-09 2026-04-30

Filings

Number Name File Date
202453341190 Annual Report 2024-04-30
202334855620 Annual Report 2023-05-01
202215775320 Annual Report 2022-04-26
202198173300 Annual Report 2021-06-11
202192126410 Annual Report 2021-02-19

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-10-30 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2023-07-05 Routine

Expenditures

Agency Date Program Subprogram Amount
Department of Education 2025-05-23 Adminstration of the Comprehensive Education Fiscal Integrity & Efficiencie 4406.75
Department of Human Services 2025-05-06 Elderly Affairs Program Services 90753.59
Department of Education 2025-04-18 Adminstration of the Comprehensive Education Fiscal Integrity & Efficiencie 4373.47
Department of Human Services 2025-04-08 Elderly Affairs Program Services 288987.85
Department of Education 2025-03-14 Adminstration of the Comprehensive Education Fiscal Integrity & Efficiencie 3823.55

Tax Exempt

Employer Identification Number (EIN) :
05-0427007
In Care Of Name:
% KATHY TOPOR
Classification:
Literary Organization, Social Welfare Organization, Labor Organization, Chamber of Commerce, Mutual Cooperative Telephone Co.
Ruling Date:
1999-03
National Taxonomy Of Exempt Entities:
Unknown: Unknown
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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51 HEALTH LANE, WARWICK, RI, 02886, USA

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Date of last update: 08 Jul 2025

Sources: Rhode Island Department of State

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