| Name: | Berkshire Place, Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Sep 1994 (30 years ago) |
| Identification Number: | 000081434 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 4 POND VIEW COURT, SMITHFIELD, RI, 02917, USA |
| Purpose: | TO ENGAGE IN PROVIDING MANAGEMENT AND MANAGEMENT SERVICES TO THE HEALTH CARE INDUSTRY INCLUDING NURSING HOMES. |
| NAICS: | 561110 - Office Administrative Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457463077 | 2006-08-31 | 2020-08-22 | 455 DOUGLAS AVE, PROVIDENCE, RI, 029082542, US | 455 DOUGLAS AVE, PROVIDENCE, RI, 029082542, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-553-8600 |
| Fax | 4015538608 |
Authorized person
| Name | MR. ALAN J BARROSO |
| Role | ADMINISTRATOR |
| Phone | 4015538600 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 695 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | EVERCARE |
| Number | 7101371 |
| State | RI |
| Issuer | BLUE CHIP |
| Number | 402248 |
| State | RI |
| Issuer | MEDICAID |
| Number | 4105119 |
| State | RI |
| Issuer | BLUE CROSS |
| Number | 50836 |
| State | RI |
| Issuer | UNITED HEALTH |
| Number | 71-00004 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BERKSHIRE PLACE 401(K) PLAN | 2011 | 050483395 | 2012-03-26 | BERKSHIRE PLACE LTD. | 5 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 050483395 |
| Plan administrator’s name | BERKSHIRE PLACE LTD. |
| Plan administrator’s address | 455 DOUGLAS AVENUE, PROVIDENCE, RI, 02908 |
| Administrator’s telephone number | 4015538600 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-26 |
| Name of individual signing | JOSEPH SOUSA |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-04-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 4015538600 |
| Plan sponsor’s address | 455 DOUGLAS AVENUE, PROVIDENCE, RI, 02908 |
Plan administrator’s name and address
| Administrator’s EIN | 050483395 |
| Plan administrator’s name | BERKSHIRE PLACE LTD. |
| Plan administrator’s address | 455 DOUGLAS AVENUE, PROVIDENCE, RI, 02908 |
| Administrator’s telephone number | 4015538600 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-25 |
| Name of individual signing | LISA KAPLAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOSEPH A. ROTELLA | Agent | 15D WATERVIEW DRIVE, SMITHFIELD, RI, 02917, USA |
| Name | Role | Address |
|---|---|---|
| ANGELO S ROTELLA | PRESIDENT | 4 POND VIEW COURT SMITHFIELD, RI 02917- USA |
| Number | Name | File Date |
|---|---|---|
| 202448203360 | Annual Report | 2024-03-04 |
| 202331320950 | Annual Report | 2023-03-16 |
| 202214037780 | Annual Report | 2022-03-29 |
| 202193332810 | Annual Report | 2021-02-26 |
| 202035160410 | Annual Report | 2020-02-24 |
| 201987908910 | Annual Report | 2019-02-27 |
| 201868809240 | Annual Report | 2018-06-06 |
| 201737164610 | Annual Report | 2017-03-01 |
| 201693472280 | Annual Report | 2016-02-29 |
| 201554981810 | Annual Report | 2015-02-12 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
