Name: | MT. SAINT FRANCIS ASSOCIATES |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Partnership |
Status: | Dissolved |
Date of Organization in Rhode Island: | 27 Sep 1983 (41 years ago) |
Date of Dissolution: | 08 Jul 2013 (12 years ago) |
Date of Status Change: | 08 Jul 2013 (12 years ago) |
Identification Number: | 000049343 |
ZIP code: | 02903 |
County: | Providence County |
Principal Address: | 190 BROAD STREET, PROVIDENCE, RI, 02903, USA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548212525 | 2006-05-17 | 2007-12-04 | 4 SAINT JOSEPH ST, WOONSOCKET, RI, 028955416, US | 4 SAINT JOSEPH ST, WOONSOCKET, RI, 028955416, US | |||||||||||||||||||||||||||||
|
Phone | +1 401-765-5844 |
Fax | 4017651026 |
Authorized person
Name | MS. JEANNE M FRAPPIER |
Role | BUSINESS MANAGER |
Phone | 4017655844 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 00650 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | UNITED HEALTH PROV. # |
Number | 7100097 |
Issuer | MEDICAID |
Number | 4105079 |
State | RI |
Name | Role | Address |
---|---|---|
W. MARK RUSSO, ESQ. SUBSTITUTE RECEIVER | Agent | 55 PINE STREET 4TH FLOOR, PROVIDENCE, RI, 02903, USA |
Number | Name | File Date |
---|---|---|
201325816770 | Certificate of Cancellation | 2013-07-08 |
200955031450 | Statement of Change of Registered/Resident Agent | 2009-11-13 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State