Name: | Linn Health & Rehabilitation |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Non-Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 20 Jun 1997 (28 years ago) |
Identification Number: | 000095559 |
ZIP code: | 02914 |
County: | Providence County |
Principal Address: | 40 IRVING AVENUE, EAST PROVIDENCE, RI, 02914, USA |
Purpose: | PROVIDING FOR NURSING CARE, HEALTH CARE, ASSISTED LIVING ANDOTHER FACILITIES |
NAICS: | 624120 - Services for the Elderly and Persons with Disabilities |
Fictitious names: |
The Loft at Linn (trading name, 2024-06-24 - ) Aldersbridge Physical Therapy and Wellness Center (trading name, 2022-10-12 - ) Linn Health Care Center (trading name, 2002-12-17 - ) |
Historical names: |
UNITED METHODIST HEALTH CARE CENTER |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639222367 | 2007-01-18 | 2023-06-07 | 30 ALEXANDER AVE, EAST PROVIDENCE, RI, 029142309, US | 30 ALEXANDER AVE, EAST PROVIDENCE, RI, 029142309, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 401-438-7210 |
Fax | 4014354231 |
Authorized person
Name | JOSEPH DURAND |
Role | DIRECTOR OF FINANCE |
Phone | 4014387210 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
Is Primary | No |
Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
Is Primary | No |
Taxonomy Code | 283X00000X - Rehabilitation Hospital |
Is Primary | No |
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | LTC00725 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 4105090 |
State | RI |
Issuer | RI BLUE CHIP |
Number | 402558 |
State | RI |
Issuer | RI BCBS |
Number | 54151 |
State | RI |
Name | Role | Address |
---|---|---|
KAREN C. SMITH | Agent | 40 IRVING AVENUE, EAST PROVIDENCE, RI, 02914, USA |
Name | Role | Address |
---|---|---|
SUSAN CERRONE ABELY | DIRECTOR | 21 RHODES DRIVE WRENTHAM, MA 02093 USA |
Type | Date | Old Value | New Value |
---|---|---|---|
Name Change | 2018-06-25 | UNITED METHODIST HEALTH CARE CENTER | Linn Health & Rehabilitation |
Number | Name | File Date |
---|---|---|
202457071840 | Fictitious Business Name Statement | 2024-06-24 |
202447779640 | Annual Report | 2024-02-28 |
202328661310 | Annual Report | 2023-02-13 |
202224025810 | Fictitious Business Name Statement | 2022-10-12 |
202211336660 | Annual Report | 2022-02-18 |
202198607120 | Annual Report | 2021-06-22 |
202043845820 | Annual Report | 2020-06-30 |
201996061460 | Annual Report | 2019-06-07 |
201870877280 | Annual Report | 2018-06-28 |
201870575780 | Articles of Amendment | 2018-06-25 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State