| Name: | NORTHERN RHODE ISLAND COLLABORATIVE |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 15 Apr 1987 (38 years ago) |
| Date of Dissolution: | 30 Jun 2023 (2 years ago) |
| Date of Status Change: | 30 Jun 2023 (2 years ago) |
| Identification Number: | 000042591 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 12 BREAKNECK HILL ROAD SUITE 200, LINCOLN, RI, 02865, USA |
| Purpose: | EDUCATION OF SEVERE AND PROFOUND STUDENTS AS WELL AS ALTERNATIVE PROGRAMS OF EDUCATION |
| NAICS: | 611110 - Elementary and Secondary Schools |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619018033 | 2007-02-09 | 2008-01-30 | 2352 MENDON RD, UNIT 6, CUMBERLAND, RI, 028643715, US | 2352 MENDON RD, UNIT 6, CUMBERLAND, RI, 028643715, US | |||||||||||||||||||||||||||
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| Phone | +1 401-658-5790 |
| Fax | 4016584012 |
Authorized person
| Name | MR. JULIAN E MACDONNELL JR. |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4016585790 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 251300000X - Local Education Agency (LEA) |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 08120 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BENJAMIN M. SCUNGIO | Agent | 362 BROADWAY, PROVIDENCE, RI, 02909, USA |
| Name | Role | Address |
|---|---|---|
| GEORGIA FORTUNATO | PRESIDENT | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| LORI A MILLER | TREASURER | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| DR. BERNARD DILULLO | CHAIR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| DR. MICHAEL SOLLITTO | VICE CHAIR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| DR. MICHAEL BARNES | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| DR. PATRICK MCGEE | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| DR. LAWRENCE FILIPPELLI | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| LAURIE ANDRIES | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| PATRICIA DUBOIS | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| MICHAEL ST JEAN | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| JOSEPH GOHO | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| DR. STEPHANIE DOWNEY TOLEDO | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| DAWN BARTZ | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| KIM MERCER | DIRECTOR | 12 BREAKNECK HILL ROAD, SUITE 200 LINCOLN, RI 02865 USA |
| Number | Name | File Date |
|---|---|---|
| 202339001130 | Articles of Dissolution | 2023-06-30 |
| 202336423700 | Annual Report | 2023-05-31 |
| 202217488660 | Annual Report | 2022-05-18 |
| 202198320920 | Annual Report | 2021-06-16 |
| 202042930950 | Annual Report | 2020-06-19 |
| 201989805820 | Annual Report | 2019-04-03 |
| 201989806160 | Annual Report | 2019-04-03 |
| 201985464210 | Revocation Notice For Failure to File An Annual Report | 2019-01-30 |
| 201745105090 | Annual Report | 2017-06-08 |
| 201600481390 | Annual Report | 2016-06-10 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
