| Name: | COVENTRY HOME CARE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 21 Mar 1997 (28 years ago) |
| Date of Dissolution: | 06 Jan 2023 (2 years ago) |
| Date of Status Change: | 06 Jan 2023 (2 years ago) |
| Identification Number: | 000094216 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 227 PHENIX AVENUE, CRANSTON, RI, 02920, USA |
| Purpose: | OPERATING, MANAGING AND PROVIDING HEALTH CARE SERVICES |
| NAICS: | 624120 - Services for the Elderly and Persons with Disabilities |
| Fictitious names: |
Phenix Home Care (trading name, 2014-02-25 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326145699 | 2006-09-20 | 2020-08-22 | 227 PHENIX AVE, CRANSTON, RI, 029204013, US | 227 PHENIX AVE, CRANSTON, RI, 029204013, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 401-943-6230 |
| Fax | 4019436265 |
Authorized person
| Name | MR. NICHOLAS PASSARELLI JR. |
| Role | PRESIDENT |
| Phone | 4019436230 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HCP02418 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PH16189 |
| State | RI |
| Issuer | MEDICAID |
| Number | PH02548 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER L. RUSSO, ESQ. | Agent | 117 METRO CENTER BOULEVARD SUITE 1003, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| NICHOLAS PASSARELLI JR | PRESIDENT | 227 PHENIX AVENUE CRANSTON, RI 02920- USA |
| Number | Name | File Date |
|---|---|---|
| 202325822020 | Articles of Dissolution | 2023-01-06 |
| 202212853850 | Annual Report | 2022-03-07 |
| 202198593810 | Statement of Change of Registered/Resident Agent Office | 2021-06-22 |
| 202192734750 | Annual Report | 2021-02-23 |
| 202036392540 | Annual Report | 2020-03-13 |
| 201918987690 | Statement of Change of Registered/Resident Agent | 2019-09-11 |
| 201988119630 | Annual Report | 2019-03-01 |
| 201860588080 | Annual Report | 2018-03-19 |
| 201737898290 | Annual Report | 2017-03-11 |
| 201694955520 | Annual Report | 2016-03-23 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
