| Name: | HARRIS HEALTH CENTER, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 May 1996 (29 years ago) |
| Identification Number: | 000089583 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 833 BROADWAY, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | SKILLED NURSING FACILITY |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043258932 | 2006-06-03 | 2020-08-22 | 833 BROADWAY, EAST PROVIDENCE, RI, 029143722, US | 833 BROADWAY, EAST PROVIDENCE, RI, 029143722, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-434-7404 |
| Fax | 4014354255 |
Authorized person
| Name | MR. JASON H HARRIS |
| Role | ADMINISTRATOR |
| Phone | 4014347404 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 708 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105098 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202452424920 | Annual Report | 2024-04-24 |
| 202332139380 | Annual Report | 2023-03-31 |
| 202217834070 | Annual Report | 2022-05-25 |
| 202104524130 | Annual Report | 2021-11-02 |
| 202070714670 | Annual Report | 2020-11-01 |
| 201921313150 | Annual Report | 2019-09-24 |
| 201881499000 | Annual Report | 2018-11-19 |
| 201751464530 | Annual Report | 2017-10-12 |
| 201610544100 | Annual Report | 2016-10-18 |
| 201610544010 | Statement of Change of Registered/Resident Agent Office | 2016-10-18 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
