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ROCKY KNOLL GROUP HOME INC.

Company Details

Name: ROCKY KNOLL GROUP HOME INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 15 Nov 1991 (34 years ago)
Date of Dissolution: 30 Dec 2020 (4 years ago)
Date of Status Change: 30 Dec 2020 (4 years ago)
Identification Number: 000066125
ZIP code: 02878
County: Newport County
Purpose: WAIVER GROUP HOME FOR DEVELOPMENTALLY DISABLED
Principal Address: Google Maps Logo 3709 MAIN ROAD, TIVERTON, RI, 02878, USA

Industry & Business Activity

NAICS

623210 Residential Intellectual and Developmental Disability Facilities

This industry comprises establishments (e.g., group homes, hospitals, intermediate care facilities) primarily engaged in providing residential care services for persons diagnosed with intellectual and developmental disabilities. These facilities may provide some health care, though the focus is room, board, protective supervision, and counseling. Learn more at the U.S. Census Bureau

PRESIDENT

Name Role Address
NANCY M CARVALHO PRESIDENT 3715 MAIN ROAD TIVERTON, RI 02878 USA

TREASURER

Name Role Address
DONNA M M GOULET-TRUPPI TREASURER 408 EIGHT ROD WAY TIVERTON, RI 02878 USA

SECRETARY

Name Role Address
NANCY M CARVALHO SECRETARY 3715 MAIN ROAD TIVERTON, RI 02878 USA

VICE PRESIDENT

Name Role Address
DONNA M M GOULET-TRUPPI 10/01/1990 VICE PRESIDENT 3709 MAIN ROAD TIVERTON, RI 02878 USA

OTHER OFFICER

Name Role Address
DONNA GOULET -TRUPPI OTHER OFFICER 3709 MAIN ROAD TIVERTON, RI 02878 USA

DIRECTOR

Name Role Address
NORMAN COMBRA JR DIRECTOR 89 HAMBLY ROAD TIVERTON, RI 02878 USA

Agent

Name Role Address
NANCY CARVALHO Agent 3709 MAIN ROAD, TIVERTON, RI, 02878, USA

National Provider Identifier

NPI Number:
1982735247

Authorized Person:

Name:
NANCY M CARVALHO
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
No
Selected Taxonomy:
313M00000X - Nursing Facility/Intermediate Care Facility
Is Primary:
Yes

Contacts:

Fax:
4016248383

Filings

Number Name File Date
202082826620 Revocation Certificate For Failure to File the Annual Report for the Year 2020-12-30
202054975820 Revocation Notice For Failure to File An Annual Report 2020-09-16
201984401090 Annual Report 2019-01-15
201858350150 Annual Report 2018-02-15
201737815350 Annual Report 2017-03-09

Date of last update: 18 May 2025

Sources: Rhode Island Department of State