| Name: | Heatherwood Nursing and Subacute Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 27 Mar 1991 (34 years ago) |
| Date of Dissolution: | 15 Jan 2015 (10 years ago) |
| Date of Status Change: | 15 Jan 2015 (10 years ago) |
| Identification Number: | 000063771 |
| ZIP code: | 02840 |
| County: | Newport County |
| Principal Address: | 398 BELLEVUE AVENUE, NEWPORT, RI, 02840, USA |
| Purpose: | TO CONSTRUCT, ACQUIRE, OWN AND OPERATE A CERTAIN NURSING FACILITY TO BE KNOWN AS HEATHERWOOD NURSING AND SUBACUTE CENTER |
| Historical names: |
Oakwood Living Centers of Newport, Inc. Heatherwood Nursing and Rehabilitation Center,Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902887029 | 2005-11-07 | 2007-07-17 | 398 BELLEVUE AVE, NEWPORT, RI, 02840, US | 398 BELLEVUE AVE, NEWPORT, RI, 02840, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 401-849-6600 |
| Fax | 4018456600 |
Authorized person
| Name | MRS. CINDY A MACIOCI |
| Role | ADMINISTRATOR |
| Phone | 4018496600 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00679 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 415033 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | HINCKLEY ALLEN & SNYDER LLP 50 KENNEDY PLAZA SUITE 1500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| DONALD E. WOODS | PRESIDENT | 173 GIDEON LAWTON LANE PORTSMOUTH, RI 02871 USA |
| Name | Role | Address |
|---|---|---|
| DONALD E. WOODS | TREASURER | 173 GIDEON LAWTON LANE PORTSMOUTH, RI 02871 USA |
| Name | Role | Address |
|---|---|---|
| PAUL A. SILVER ESQ. | SECRETARY | 50 KENNEDY PLAZA, STE. 1500 PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| CINDY MACIOCI | ASSISTANT SECRETARY | 398 BELLEVUE AVENUE NEWPORT, RI 02840 USA |
| Name | Role | Address |
|---|---|---|
| DONALD E. WOODS | DIRECTOR | 173 GIDEON LAWTON LANE PORTSMOUTH, RI 02871 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1996-09-23 | Heatherwood Nursing and Rehabilitation Center,Inc. | Heatherwood Nursing and Subacute Center, Inc. |
| Name Change | 1992-10-19 | Oakwood Living Centers of Newport, Inc. | Heatherwood Nursing and Rehabilitation Center,Inc. |
| Number | Name | File Date |
|---|---|---|
| 201553782760 | Articles of Dissolution | 2015-01-15 |
| 201451394650 | Statement of Change of Registered/Resident Agent | 2014-12-18 |
| 201450447960 | Revocation Notice For Failure to Maintain a Registered Agent | 2014-11-28 |
| 201446842050 | Agent Resigned | 2014-09-26 |
| 201437527940 | Annual Report | 2014-03-20 |
| 201314178250 | Annual Report | 2013-03-19 |
| 201288272440 | Annual Report | 2012-01-20 |
| 201177008350 | Annual Report | 2011-03-29 |
| 200955570670 | Annual Report | 2009-12-21 |
| 200944688360 | Statement of Change of Registered/Resident Agent | 2009-03-30 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
