| Name: | Home Care Advantage, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 Jan 1995 (30 years ago) |
| Identification Number: | 000082714 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 165 BURNSIDE STREET, CRANSTON, RI, 02910, USA |
| Purpose: | TO PROVIDE SKILLED NURSING THERAPIES AND HOME HEALTH CARE AND SERVICES |
| NAICS: | 621610 - Home Health Care Services |
| Fictitious names: |
HomeCare Advantage (trading name, 2004-09-22 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104948439 | 2007-04-06 | 2020-08-22 | 165 BURNSIDE ST, CRANSTON, RI, 029101149, US | 165 BURNSIDE ST, CRANSTON, RI, 029101149, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-781-3400 |
| Fax | 4017813401 |
Authorized person
| Name | MR. JAMES E RILEY |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 4017813400 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HNC02285 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | HNC02285 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RI MEDICAL ASSISTANCE |
| Number | HC23272 |
| State | RI |
| Issuer | RI NEIGHBORHOOD HEALTH |
| Number | 27651 |
| State | RI |
| Issuer | RI MEDICAL ASSISTANCE |
| Number | HC12305 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOME CARE ADVANTAGE 401(K) PLAN | 2023 | 050481962 | 2024-07-25 | HOME CARE ADVANTAGE, INC. | 129 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-25 |
| Name of individual signing | CHERYL LEVESQUE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| BRIAN RILEY, MD | TREASURER | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| CHERYL LEVESQUE | SECRETARY | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| ELAINE M RILEY | PRESIDENT | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| CHERYL LEVESQUE | VICE PRESIDENT | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202455090410 | Annual Report | 2024-05-30 |
| 202334213420 | Annual Report | 2023-04-27 |
| 202331722240 | Statement of Change of Registered/Resident Agent | 2023-03-27 |
| 202217050920 | Annual Report | 2022-04-29 |
| 202194812780 | Annual Report | 2021-03-22 |
| 202034419410 | Annual Report | 2020-02-12 |
| 201986084480 | Annual Report | 2019-02-06 |
| 201857732470 | Annual Report | 2018-02-05 |
| 201734125920 | Annual Report | 2017-02-15 |
| 201692377810 | Annual Report | 2016-02-12 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
