| Name: | CAPITOL HOME CARE NETWORK, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Sep 1995 (29 years ago) |
| Identification Number: | 000086034 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 400 RESERVOIR AVENUE SUITE 1K, PROVIDENCE, RI, 02907, USA |
| Purpose: | PROVIDING HOME HEALTH CARE SERVICES, INCLUDING BUT NOT LIMITED TO NURSING SERVICES, HOME MAKING SERVICE, SOCIAL SERVICES, PSYCHOLOGICAL SERVICES, AND CASE MANAGEMENT. |
| NAICS: | 621610 - Home Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326139023 | 2006-09-27 | 2020-08-22 | 400 RESERVOIR AVE, SUITE L-LN, PROVIDENCE, RI, 029073565, US | 400 RESERVOIR AVE, SUITE L-LN, PROVIDENCE, RI, 029073565, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-941-0002 |
| Fax | 4019410082 |
Authorized person
| Name | MRS. MARY ELLEN BARRY |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4019410002 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HNC02213 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS RI PROVIDER NU |
| Number | 5854-2 |
| State | RI |
| Issuer | BLUE CHIP RI PROVIDER NUM |
| Number | 402560 |
| State | RI |
| Issuer | MEDICAID |
| Number | 4107045 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER L. RUSSO, ESQ. | Agent | 117 METRO CENTER BOULEVARD SUITE 1003, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| MARY BENWAY | PRESIDENT | P.O. BOX 507 NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 202448293550 | Annual Report | 2024-03-07 |
| 202328665020 | Annual Report | 2023-02-14 |
| 202214745900 | Annual Report | 2022-04-07 |
| 202198594790 | Statement of Change of Registered/Resident Agent Office | 2021-06-22 |
| 202195155390 | Annual Report | 2021-03-29 |
| 202035984890 | Annual Report | 2020-03-06 |
| 201988065270 | Annual Report | 2019-02-28 |
| 201860393800 | Annual Report | 2018-03-16 |
| 201739464150 | Annual Report | 2017-04-03 |
| 201693111620 | Annual Report | 2016-02-24 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
