| Name: | ROSEWOOD MANOR, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 20 Dec 1988 (36 years ago) |
| Date of Dissolution: | 12 Dec 2011 (13 years ago) |
| Date of Status Change: | 12 Dec 2011 (13 years ago) |
| Identification Number: | 000052942 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 608 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | TO OPERATE ONE OR MORE HEALTH CARE FACILITIES |
| Historical names: |
WAYLAND HEALTH CENTER, INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891797858 | 2005-06-02 | 2020-08-22 | 140 PITMAN ST, PROVIDENCE, RI, 029065113, US | 140 PITMAN ST, PROVIDENCE, RI, 029065113, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 401-274-4200 |
Authorized person
| Name | MR. ANTHONY BARILE |
| Role | ADMINISTRATOR |
| Phone | 4012744200 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 597 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105037 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| LAWRENCE S. GATES, ESQ. | Agent | 608 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| RONALD R ROBIDOUX | TREASURER | 608 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| LAWRENCE S GATES | SECRETARY | 608 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| RONALD R ROBIDOUX | PRESIDENT | 608 SMITHFIELD ROAD N. PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| DAVID RUBIEN | VICE PRESIDENT | 608 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| RONALD R ROBIDOUX | DIRECTOR | 608 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| LAWRENCE S GATES | DIRECTOR | 608 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| DAVID RUBIEN | DIRECTOR | 608 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1992-06-22 | WAYLAND HEALTH CENTER, INC. | ROSEWOOD MANOR, LTD. |
| Number | Name | File Date |
|---|---|---|
| 201186922780 | Revocation Certificate For Failure to File the Annual Report for the Year | 2011-12-12 |
| 201182358970 | Revocation Notice For Failure to File An Annual Report | 2011-09-13 |
| 201057412370 | Annual Report | 2010-01-27 |
| 200955498280 | Statement of Change of Registered/Resident Agent Office | 2009-12-15 |
| 200943055730 | Annual Report | 2009-02-24 |
| 200834105410 | Annual Report | 2008-08-22 |
| 200812826610 | Revocation Notice For Failure to File An Annual Report | 2008-08-04 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
