| Name: | Home Care Advantage CHC, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Jun 1997 (28 years ago) |
| Identification Number: | 000095396 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 165 BURNSIDE STREET, CRANSTON, RI, 02910, USA |
| Purpose: | TO PROVIDE SKILLED NURSING THERAPIES AND HOME HEALTH CARE AIDE SERVICES. |
| NAICS: | 621610 - Home Health Care Services |
| Fictitious names: |
HomeCare Advantage CHC (trading name, 2004-09-22 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841413994 | 2007-04-10 | 2020-08-22 | 165 BURNSIDE ST, CRANSTON, RI, 029101149, US | 165 BURNSIDE ST, CRANSTON, RI, 029101149, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-781-3400 |
| Fax | 4017813401 |
Authorized person
| Name | MR. JAMES E RILEY |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 4017813400 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HNC02284 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | HNC02284 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | UNITED HEALTH |
| Number | 60-00189 |
| State | RI |
| Issuer | BCBS |
| Number | 5859-1 |
| State | RI |
| Issuer | BCHIP |
| Number | 403881-1 |
| State | RI |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 27777 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| BRIAN RILEY, MD | TREASURER | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| CHERYL LEVESQUE | SECRETARY | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| ELAINE M RILEY | PRESIDENT | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| CHERYL LEVESQUE | VICE PRESIDENT | 165 BURNSIDE STREET CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202455091110 | Annual Report | 2024-05-30 |
| 202334206990 | Annual Report | 2023-04-27 |
| 202331723580 | Statement of Change of Registered/Resident Agent | 2023-03-27 |
| 202217051080 | Annual Report | 2022-04-29 |
| 202194812690 | Annual Report | 2021-03-22 |
| 202034419140 | Annual Report | 2020-02-12 |
| 201986084390 | Annual Report | 2019-02-06 |
| 201857732830 | Annual Report | 2018-02-05 |
| 201734120970 | Annual Report | 2017-02-15 |
| 201692381600 | Annual Report | 2016-02-12 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
