| Name: | Harborside Rhode Island Limited Partnership |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Partnership |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 Jan 1998 (27 years ago) |
| Identification Number: | 000098914 |
| Place of Formation: | MASSACHUSETTS |
| Principal Address: | 101 E. STATE STREET, KENNETT SQUARE, PA, 19348, USA |
| Purpose: | TO ENGAGE IN THE OWNERSHIP, LEASE AND OPERATION OF NURSING HOMES. |
| Fictitious names: |
Greenwood Center (trading name, 2012-12-06 - ) Greenwood Care and Rehabilitation Center (trading name, 2008-10-24 - 2012-12-06) Pawtuxet Village Care and Rehabilitation Center (trading name, 2008-10-24 - ) Harborside Healthcare-Greenwood Rehabilitation &Nursing Center (trading name, 1998-05-27 - ) Harborside Healthcare-Pawtuxet Village Rehabilitation & Nursing Center (trading name, 1998-05-27 - ) |
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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003823626 | 2006-08-03 | 2023-08-29 | 101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM, 871094373, US | 1139 MAIN AVE, WARWICK, RI, 028861940, US | |||||||||||||||||||||||||||||
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| Phone | +1 505-468-5604 |
| Fax | 5054684681 |
| Phone | +1 401-739-6600 |
| Fax | 4017380310 |
Authorized person
| Name | MICHAEL T BERG |
| Role | OFFICER |
| Phone | 5054684742 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC 00709 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | HH26199 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202457994220 | Annual Report | 2024-07-16 |
| 202455962320 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
| 201204483790 | Statement of Abandonment of Use of Fictitious Business Name | 2012-12-06 |
| 201204483880 | Fictitious Business Name Statement | 2012-12-06 |
| 200837048390 | Fictitious Business Name Statement | 2008-10-24 |
| 200837048200 | Fictitious Business Name Statement | 2008-10-24 |
| 201881349530 | Statement of Change of Registered/Resident Agent Office | 2004-06-14 |
| 201881349620 | Fictitious Business Name Statement | 1998-05-27 |
| 201881349800 | Fictitious Business Name Statement | 1998-05-27 |
| 201881349990 | Application for Certificate of Registration | 1998-01-16 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 338913460 | 0112300 | 2013-02-19 | 1139 MAIN AVENUE, WARWICK, RI, 02886 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19100037 B05 |
| Issuance Date | 2013-07-12 |
| Current Penalty | 0.0 |
| Initial Penalty | 2295.0 |
| Final Order | 2013-08-01 |
| Nr Instances | 2 |
| Nr Exposed | 12 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.37(b)(5): Each doorway or passage along an exit access that could be mistaken for an exit was not marked "Not an Exit" or similar designation, or be identified by a sign indicating its actual use (e.g., closet): In the following locations doors that could be mistaken for a means of exit in an emergency, was not labelled "Not an Exit": 1) Basement Area, Records Room; 2) Laundry Room, Dryer Area. |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19100151 C |
| Issuance Date | 2013-07-12 |
| Abatement Due Date | 2013-08-16 |
| Current Penalty | 0.0 |
| Initial Penalty | 2295.0 |
| Final Order | 2013-08-01 |
| Nr Instances | 1 |
| Nr Exposed | 6 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.151(c): Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body were not provided within the work area for immediate emergency use: Laundry Area: When employees handle, and are exposed to, corrosive laundry chemicals the employer did not have available a suitable eyewash within the work area for immediate emergency use. |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
