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 (33 years ago) |
Identification Number: | 000069693 |
Principal Address: | 335 EAST LINTON ROAD BOX 2072, DELRAY BEACH, FL, 33483, USA |
Purpose: | NURSING HOME/ASSISTED LIVING |
Historical names: |
Courtland Place Health Center, Inc. |
NAICS
623312 Assisted Living Facilities for the ElderlyThis U.S. industry comprises establishments primarily engaged in providing residential and personal care services (i.e., without on-site nursing care facilities) for (1) the elderly or other persons who are unable to fully care for themselves and/or (2) the elderly or other persons who do not desire to live independently. The care typically includes room, board, supervision, and assistance in daily living, such as housekeeping services. Learn more at the U.S. Census Bureau
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 JR. | DIRECTOR | 335 E.LINTON BLVD-BOX 2072 DELRAY BEACH, FL 33483 USA |
NORMAN P. AUDINO | 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: 08 Apr 2025
Sources: Rhode Island Department of State