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02920
COVENTRY HOME CARE, INC.

COVENTRY HOME CARE, INC.

Company Details

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
Fictitious names:	Phenix Home Care (trading name, 2014-02-25 - )

Industry & Business Activity

NAICS

624120 Services for the Elderly and Persons with Disabilities

This industry comprises establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship. Learn more at the U.S. Census Bureau

National Provider Identifier

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

Contacts

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

Agent

Name	Role	Address
CHRISTOPHER L. RUSSO, ESQ.	Agent	117 METRO CENTER BOULEVARD SUITE 1003, WARWICK, RI, 02886, USA

PRESIDENT

Name	Role	Address
NICHOLAS PASSARELLI JR	PRESIDENT	227 PHENIX AVENUE CRANSTON, RI 02920- USA

Filings

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
201555311490	Annual Report	2015-02-18
201437927650	Annual Report	2014-03-31
201436147860	Fictitious Business Name Statement	2014-02-25
201314328150	Annual Report	2013-03-22
201291404340	Annual Report	2012-03-26
201176841200	Annual Report	2011-03-23
200955599590	Annual Report	2009-12-22
200943163390	Annual Report	2009-02-25
200809423860	Annual Report	2008-02-28
201882445420	Annual Reports - Prior to 2006	2005-02-15

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7117038310

2021-01-27

0165

PPS

227 Phenix Ave, Cranston, RI, 02920-4013

Loan Status Date	2021-09-30
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	91930
Loan Approval Amount (current)	91930
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	98258
Servicing Lender Name	HarborOne Bank
Servicing Lender Address	770 Oak St, BROCKTON, MA, 02301-1100
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Cranston, PROVIDENCE, RI, 02920-4013
Project Congressional District	RI-02
Number of Employees	46
NAICS code	621610
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	98258
Originating Lender Name	HarborOne Bank
Originating Lender Address	BROCKTON, MA
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	92421.13
Forgiveness Paid Date	2021-08-13

7886327007

2020-04-08

0165

PPP

960 TIOGUE AVENUE, COVENTRY, RI, 02816-6304

Loan Status Date	2021-02-20
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	87300
Loan Approval Amount (current)	87300
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	98258
Servicing Lender Name	HarborOne Bank
Servicing Lender Address	770 Oak St, BROCKTON, MA, 02301-1100
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	COVENTRY, KENT, RI, 02816-6304
Project Congressional District	RI-02
Number of Employees	46
NAICS code	621610
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	98258
Originating Lender Name	HarborOne Bank
Originating Lender Address	BROCKTON, MA
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	87933.82
Forgiveness Paid Date	2021-01-07

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State