| Name: | NEW ENGLAND AMBULANCE SERVICE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Receivership |
| Date of Organization in Rhode Island: | 10 Aug 1989 (35 years ago) |
| Date of Dissolution: | 04 Feb 2015 (10 years ago) |
| Date of Status Change: | 04 Feb 2015 (10 years ago) |
| Identification Number: | 000057019 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 37 MANUEL AVENUE, JOHNSTON, RI, 02919, USA |
| Purpose: | TRANSPORTATION SERVICE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689618902 | 2006-06-16 | 2012-11-13 | PO BOX 8627, CRANSTON, RI, 029200627, US | 37 MANUEL AVE, JOHNSTON, RI, 029193906, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-421-1859 |
| Fax | 4014212553 |
Authorized person
| Name | MR. JOHN J VERNANCIO |
| Role | PRESIDENT & CEO |
| Phone | 4014211859 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 110 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MASS HEALTH PROV ID # |
| Number | 1719882 |
| State | RI |
| Issuer | BC/BS COORDINATED PR ID# |
| Number | 202988 |
| State | RI |
| Issuer | MEDICAID |
| Number | 9009957 |
| State | RI |
| Issuer | RAILROAD MEDICARE PROV # |
| Number | 5990006076 |
| State | RI |
| Issuer | NEIGHBORHOOD HLT ID # |
| Number | 53900 |
| State | RI |
| Issuer | PALMETTO PROV ID # |
| Number | 590006076 |
| State | RI |
| Issuer | BC/BS |
| Number | 9957-2 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW ENGLAND AMBULANCE SERVICE, INC. 401(K) PLAN | 2014 | 050447829 | 2015-10-14 | NEW ENGLAND AMBULANCE SERVICE, INC. | 18 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050447829 |
| Plan administrator’s name | NEW ENGLAND AMBULANCE SERVICE, INC. |
| Plan administrator’s address | 37 MANUEL AVENUE, JOHNSTON, RI, 02919 |
| Administrator’s telephone number | 4014211859 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-14 |
| Name of individual signing | JOHN J. VERNANCIO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 4014211859 |
| Plan sponsor’s address | 37 MANUEL AVENUE, JOHNSTON, RI, 02919 |
Plan administrator’s name and address
| Administrator’s EIN | 050447829 |
| Plan administrator’s name | NEW ENGLAND AMBULANCE SERVICE, INC. |
| Plan administrator’s address | 37 MANUEL AVENUE, JOHNSTON, RI, 02919 |
| Administrator’s telephone number | 4014211859 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-15 |
| Name of individual signing | JOHN J. VERNANCIO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GERARD M. DECELLES | Agent | 1536 WESTMINSTER STREET, PROVIDENCE, RI, 02909, USA |
| Name | Role | Address |
|---|---|---|
| JOHN VERNANCIO | PRESIDENT | 37 MANUEL AVENUE JOHNSTON, RI 02919- USA |
| Number | Name | File Date |
|---|---|---|
| 201555165480 | Order Appointing Temporary Receiver | 2015-02-04 |
| 201437920660 | Annual Report | 2014-03-31 |
| 201314396780 | Annual Report | 2013-03-25 |
| 201291293890 | Annual Report | 2012-03-21 |
| 201176686720 | Annual Report | 2011-03-17 |
| 201060016220 | Annual Report | 2010-03-08 |
| 200943549130 | Annual Report | 2009-03-02 |
| 200809769850 | Annual Report | 2008-03-14 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
