| Name: | WARWICK HEALTH CENTRE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Jun 1998 (27 years ago) |
| Identification Number: | 000101018 |
| ZIP code: | 02889 |
| County: | Kent County |
| Principal Address: | 109 WEST SHORE ROAD, WARWICK, RI, 02889, USA |
| Purpose: | TO OPERATE A SKILLED CARE NURSING FACILITY. |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
WEST SHORE HEALTH CENTER (trading name, 2000-02-17 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386689149 | 2006-06-17 | 2024-11-08 | 109 W SHORE RD, WARWICK, RI, 028891102, US | 109 W SHORE RD, WARWICK, RI, 028891102, US | |||||||||||||||||||||||||
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| Phone | +1 401-739-9440 |
| Fax | 4017395792 |
Authorized person
| Name | KELLY ARNOLD |
| Role | COO |
| Phone | 4017513800 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 719 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | WH-30941 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| MICHAEL BIGNEY | Agent | 588 PAWTUCKET AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| DAVID M RYAN | TREASURER | 101 MELROSE AVE JAMESTOWN, RI 02835 USA |
| Name | Role | Address |
|---|---|---|
| TERRY A CARRAGHER | SECRETARY | 232 BROADWAY PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| DAVID M RYAN | PRESIDENT | 101 MELROSE AVENUE JAMESTOWN, RI 02835 USA |
| Number | Name | File Date |
|---|---|---|
| 202460356040 | Statement of Change of Registered/Resident Agent | 2024-09-27 |
| 202452201260 | Annual Report | 2024-04-23 |
| 202336442800 | Annual Report | 2023-05-31 |
| 202208275370 | Annual Report | 2022-01-20 |
| 202185790080 | Annual Report | 2021-01-11 |
| 202033605580 | Annual Report | 2020-02-03 |
| 201989021860 | Annual Report | 2019-03-21 |
| 201855806100 | Annual Report | 2018-01-08 |
| 201734999530 | Annual Report | 2017-02-28 |
| 201690695880 | Annual Report | 2016-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2033467107 | 2020-04-10 | 0165 | PPP | 109 W SHORE RD, WARWICK, RI, 02889-1102 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
