| Name: | Cortland Place Health Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Sep 1992 (32 years ago) |
| Identification Number: | 000069693 |
| Principal Address: | 335 EAST LINTON ROAD BOX 2072, DELRAY BEACH, FL, 33483, USA |
| Purpose: | NURSING HOME/ASSISTED LIVING |
| NAICS: | 623312 - Assisted Living Facilities for the Elderly |
| Historical names: |
Courtland Place Health Center, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043337330 | 2007-03-23 | 2018-06-13 | 20 AUSTIN AVENUE, GREENVILLE, RI, 02828, US | 20 AUSTIN AVENUE, GREENVILLE, RI, 02828, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-949-3880 |
| Fax | 4019494170 |
Authorized person
| Name | MR. NORMAN P AUDINO JR. |
| Role | OWNER |
| Phone | 4019493880 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | ALR01379 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00704 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RHODE ISLAND BLUECROSS |
| Number | 5432, 402017, 5309 |
| State | RI |
| Issuer | UNITED HEALTHCARE |
| Number | 7109172 |
| Issuer | MEDICAID |
| Number | 4105123 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ROBERT A. PERETTI, ESQ. | Agent | 1140 RESERVOIR AVENUE SUITE 201, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| NORMAN P. AUDINO | PRESIDENT | 335 E. LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
| Name | Role | Address |
|---|---|---|
| NORMAN P. AUDINO JR. | TREASURER | 335 E.LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
| Name | Role | Address |
|---|---|---|
| NORMAN P. AUDINO | SECRETARY | 335 E. LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
| Name | Role | Address |
|---|---|---|
| NORMAN P. AUDINO JR. | VICE PRESIDENT | 335 E.LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
| Name | Role | Address |
|---|---|---|
| NORMAN P. AUDINO | DIRECTOR | 335 E. LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
| NORMAN P. AUDINO JR. | DIRECTOR | 335 E.LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2000-03-16 | Courtland Place Health Center, Inc. | Cortland Place Health Center, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202449388840 | Annual Report | 2024-03-26 |
| 202334764850 | Annual Report | 2023-04-30 |
| 202214983870 | Annual Report | 2022-04-18 |
| 202194817730 | Annual Report | 2021-03-22 |
| 202036020650 | Annual Report | 2020-03-08 |
| 201924723550 | Statement of Change of Registered/Resident Agent Office | 2019-10-17 |
| 201908264280 | Annual Report | 2019-07-29 |
| 201906987370 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201860794760 | Annual Report | 2018-03-23 |
| 201739317690 | Annual Report | 2017-03-31 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
