| Name: | Wilson RLD, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 07 Jul 1988 (37 years ago) |
| Date of Dissolution: | 09 Jun 2014 (11 years ago) |
| Date of Status Change: | 09 Jun 2014 (11 years ago) |
| Identification Number: | 000047733 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 198 WATERMAN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | OPERATION OF NURSING HOME AND RECOVERY CENTER |
| Historical names: |
Eastgate Nursing and Recovery Center, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235112921 | 2005-11-28 | 2007-11-13 | 198 WATERMAN AVE, EAST PROVIDENCE, RI, 029143523, US | 198 WATERMAN AVE, EAST PROVIDENCE, RI, 029143523, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-431-2087 |
| Fax | 4014356465 |
Authorized person
| Name | MS. DONNA A AMARAL |
| Role | VICE PRESIDENT/ ADMINISTRATOR |
| Phone | 4014312087 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00659 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 5093 |
| State | RI |
| Issuer | BLUE CHIP |
| Number | 402843 |
| State | RI |
| Issuer | UNITED HEALTH |
| Number | 7100042 |
| State | RI |
| Issuer | MEDICAID |
| Number | 4105083 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| MARTIN P. SLEPKOW, ESQ. | Agent | 1481 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915, USA |
| Name | Role | Address |
|---|---|---|
| RICHARD WILSON | PRESIDENT | 198 WATERMAN AVENUE EAST PROVIDENCE, RI 02914 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2012-10-18 | Eastgate Nursing and Recovery Center, Inc. | Wilson RLD, Inc. |
| Number | Name | File Date |
|---|---|---|
| 201440738890 | Annual Report | 2014-06-09 |
| 201440738980 | Articles of Dissolution | 2014-06-09 |
| 201440185810 | Agent Resigned | 2014-05-29 |
| 201439403800 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201313469160 | Annual Report | 2013-03-04 |
| 201299560200 | Articles of Amendment | 2012-10-18 |
| 201291630280 | Annual Report | 2012-04-02 |
| 201174583940 | Annual Report | 2011-02-07 |
| 201057419540 | Annual Report | 2010-01-26 |
| 200942984040 | Annual Report | 2009-02-23 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
