| 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)This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7330407110 | 2020-04-14 | 0165 | PPP | 833 Broadway, EAST PROVIDENCE, RI, 02914-3722 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9440768610 | 2021-03-26 | 0165 | PPS | 833 Broadway # 0, East Providence, RI, 02914-3722 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
