| Name: | THE CLIPPER HOME, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Dec 1994 (30 years ago) |
| Identification Number: | 000082173 |
| Place of Formation: | CONNECTICUT |
| Principal Address: | 21 WATERVILLE ROAD, AVON, CT, 06001-0000, USA |
| Purpose: | TO OWN AND OPERATE A NURSING CARE FACILITY. |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568531325 | 2006-11-07 | 2015-02-18 | 161 POST RD, WESTERLY, RI, 028912673, US | 161 POST RD, WESTERLY, RI, 028912673, US | |||||||||||||||||||||||||
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| Phone | +1 401-322-8081 |
| Fax | 4013220910 |
Authorized person
| Name | RYAN VESS |
| Role | CFO |
| Phone | 8606789755 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 696 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105120 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JON D. LALLO | Agent | 42 GRANITE STREET, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| BRIAN S FOLEY | PRESIDENT | 21 WATERVILLE ROAD AVON, CT 06001 USA |
| Name | Role | Address |
|---|---|---|
| RYAN VESS | SECRETARY | 21 WATERVILLE RD. AVON, CT 06001 USA |
| Number | Name | File Date |
|---|---|---|
| 202460308490 | Statement of Change of Registered/Resident Agent | 2024-09-25 |
| 202447116030 | Annual Report | 2024-02-23 |
| 202333381120 | Annual Report | 2023-04-20 |
| 202215358910 | Annual Report | 2022-04-21 |
| 202192568030 | Annual Report | 2021-02-23 |
| 202037022860 | Annual Report | 2020-03-31 |
| 201983655250 | Annual Report | 2019-01-03 |
| 201877291890 | Annual Report | 2018-09-12 |
| 201875456480 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201748443450 | Annual Report | 2017-08-14 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
