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  5. Neighborhood Health Plan of Rhode Island

Neighborhood Health Plan of Rhode Island

Company Details

Name: Neighborhood Health Plan of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Sep 2000 (24 years ago)
Identification Number: 000114549
ZIP code: 02917
County: Providence County
Principal Address: 910 DOUGLAS PIKE, SMITHFIELD, RI, 02917, USA
Purpose: HEALTH MAINTENANCE ORGANIZATION
NAICS: 524114 - Direct Health and Medical Insurance Carriers
Fictitious names: Neighborhood (trading name, 2007-02-23 - )
Neighborhood's Kids First Dental (trading name, 2006-04-20 - )
Partners for Health - Rhode Island (trading name, 2005-12-20 - )
Neighborhood Solutions (trading name, 2001-12-10 - )
Historical names: NHPRI-NP

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND SECTION 125 BENEFIT PLAN 2014 050477052 2015-08-07 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 330
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 4014596000
Plan sponsor’s mailing address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Plan sponsor’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908

Number of participants as of the end of the plan year
Active participants 395
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2015-08-03
Name of individual signing LISA WHITING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-07
Name of individual signing CRAIG MCANAUGH
Valid signature Filed with authorized/valid electronic signature
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND SECTION 125 BENEFIT PLAN 2013 050477052 2014-07-22 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 242
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 4014596000
Plan sponsor’s mailing address 299 PROMENADE ST., PROVIDENCE, RI, 02908
Plan sponsor’s address 299 PROMENADE ST., PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 050477052
Plan administrator’s name NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
Plan administrator’s address 299 PROMENADE ST., PROVIDENCE, RI, 02908
Administrator’s telephone number 4014596000

Number of participants as of the end of the plan year
Active participants 327
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing DOUG THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing MICHELLE TETREAULT
Valid signature Filed with authorized/valid electronic signature
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND SECTION 125 BENEFIT PLAN 2012 050477052 2013-07-16 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 205
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 4014596000
Plan sponsor’s mailing address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Plan sponsor’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908

Number of participants as of the end of the plan year
Active participants 241
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing MICHELLE TETREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing THOMAS PHILLIP
Valid signature Filed with authorized/valid electronic signature
NEIGHBORHOOD HEALTH PLAN OF RI SECTION 125 BENEFIT PLAN 2011 050477052 2012-06-27 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 202
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 4014596000
Plan sponsor’s mailing address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Plan sponsor’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 050477052
Plan administrator’s name NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
Plan administrator’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014596000

Number of participants as of the end of the plan year
Active participants 203
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing MICHELLE TETREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-27
Name of individual signing THOMAS PHILLIP
Valid signature Filed with authorized/valid electronic signature
NEIGHBORHOOD HEALTH PLAN OF RI SECTION 125 BENEFIT PLAN 2010 050477052 2011-06-06 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 218
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 4014596000
Plan sponsor’s mailing address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Plan sponsor’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 050477052
Plan administrator’s name NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
Plan administrator’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014596000

Number of participants as of the end of the plan year
Active participants 196
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 2

Signature of
Role Plan administrator
Date 2011-06-03
Name of individual signing MICHELLE TETREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-20
Name of individual signing THOMAS PHILLIP
Valid signature Filed with authorized/valid electronic signature
NEIGHBORHOOD HEALTH PLAN OF RI SECTION 125 BENEFIT PLAN 2009 050477052 2010-08-02 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 209
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 4014596000
Plan sponsor’s mailing address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Plan sponsor’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 050477052
Plan administrator’s name NEIGBHORHOOD HEALTH PLAN OF RHODE ISLAND
Plan administrator’s address 299 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014596000

Number of participants as of the end of the plan year
Active participants 208
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 4

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing MICHELLE TETREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing THOMAS PHILLIP
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DON E. WINEBERG, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
PETER MARINO PRESIDENT 910 DOUGLAS PIKE SMITHFIELD, RI 02917 USA

SECRETARY

Name Role Address
KEITH OLIVEIRA SECRETARY 63 ROANOKE STREET PROVIDENCE, RI 02908 USA

CHAIR

Name Role Address
BRENDA DOWLATSHAHI CHAIR 1126 HARTFORD AVE JOHNSTON, RI 02919 USA

VICE CHAIR

Name Role Address
ALISON CROKE VICE CHAIR 823 MAIN STREET HOPE VALLEY, RI 02832 USA

DIRECTOR

Name Role Address
JEANNE LACHANCE DIRECTOR 5 TIMBER LANE EXETER, RI 02822 USA
PABLO RODRIGUEZ M.D. DIRECTOR 407 EAST AVE-STE 150 PAWTUCKET, RI 02860 USA
PETER BANCROFT DIRECTOR 36 BRIDGEWAY PASCOAG, RI 02859 USA
LISA A RANGLIN DIRECTOR THREE REGENCY PLAZA, STE 3 EAST PROVIDENCE, RI 02903 USA
WILLIAM HOCHSTRASSER-WALSH DIRECTOR 311 DORIC AVENUE CRANSTON, RI 02910 USA
DIOSCARIS GARCIA DIRECTOR 26 CEDARBROOK ROAD PAWTUCKET, RI 02861 USA
YAHAIRA PLACENCIA DIRECTOR 100 WESTMINSTER ST PROVIDENCE, RI 02908 USA
GARY FURTADO DIRECTOR 1005 DOUGLAS PIKE SMITHFIELD, RI 02917 USA
DANIEL DAPONTE DIRECTOR 197 WARREN AVE, STE 203 EAST PROVIDENCE, RI 02914 USA
ELENA NICOLELLA DIRECTOR 235 PROMENADE STREET, SUITE 455 PROVIDENCE, RI 02908 USA

TREASURER

Name Role Address
MERRILL THOMAS TREASURER 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA

Events

Type Date Old Value New Value
Name Change 2000-12-21 NHPRI-NP Neighborhood Health Plan of Rhode Island
Merged 2000-12-21 Neighborhood Health Plan of Rhode Island, Inc. on Neighborhood Health Plan of Rhode Island

Filings

Number Name File Date
202449924020 Annual Report 2024-04-01
202333167490 Annual Report 2023-04-18
202211521840 Annual Report 2022-02-24
202198183110 Annual Report 2021-06-11
202044029300 Annual Report 2020-07-02
201999163620 Annual Report - Amended 2019-06-25
201997946450 Annual Report 2019-06-20
201868826580 Annual Report 2018-06-07
201745922020 Annual Report 2017-06-21
201600784310 Annual Report 2016-06-17

Related by officers

DON E. WINEBERG, ESQ.

Tri-County Community Action Agency PETECO CONSTRUCTION, INC. PSYCHIATRY FOUNDATION OF RHODE ISLAND, INC. Preferred Laboratories, Inc. Brown Emergency Medicine LIFESPAN PHYSICIANS IPA, INC. St. Joseph Physician-Hospital Alliance, Inc. New England Physician Alliance The CHC Enterprise, Inc. Psychotherapy Consultants, Inc.

PETER MARINO

Rhode Island Public Expenditure Council QinetiQ North America Operations LLC

BRENDA DOWLATSHAHI

RHODE ISLAND HEALTH CENTER ASSOCIATION J.A.G. CONSTRUCTION EQUIPMENT, INC. eCHC Integrated Healthcare Partners

ALISON CROKE

St. Mary Academy - BayView The Substance Use and Mental Health Leadership Council of RI THE JONNYCAKE CENTER, INC. RHODE ISLAND HEALTH CENTER ASSOCIATION WOOD RIVER HEALTH SERVICES, INC. SHAKESPEARE'S HEAD ASSOCIATION Integrated Healthcare Partners

JEANNE LACHANCE

Thundermist Health Center RHODE ISLAND HEALTH CENTER ASSOCIATION The Rhode Island Quality Institute The Molar Express

MERRILL THOMAS

RHODE ISLAND HEALTH CENTER ASSOCIATION B&S Mill, Inc.

PETER BANCROFT

Northwest Community Health Care RHODE ISLAND HEALTH CENTER ASSOCIATION WellOne Foundation Neighborhood Health Plan of Rhode Island, Inc.

LISA A RANGLIN

Rhode Island Black Business Association

WILLIAM HOCHSTRASSER-WALSH

The Substance Use and Mental Health Leadership Council of RI RHODE ISLAND HEALTH CENTER ASSOCIATION The Molar Express

DIOSCARIS GARCIA

Central Falls Children's Foundation

YAHAIRA PLACENCIA

United Way of Rhode Island, Inc.

GARY FURTADO

St. Mary Academy - BayView RHODE ISLAND BOY SCOUTS To Kalon Club Butler Hospital THE ROTARY CLUB OF PAWTUCKET RHODE ISLAND, INCORPORATED Pawtucket Rotary Foundation, Inc. HealthTouch, Inc. Care New England Ambulatory Surgery Center

DANIEL DAPONTE

Greater Providence Young Mens Christian Association Axis Financial Group, Inc. Axis Insurance Group, LLC

ELENA NICOLELLA

RHODE ISLAND HEALTH CENTER ASSOCIATION UNITED CEREBRAL PALSY OF RHODE ISLAND, INC. NEW LIFE ESTATES, INC. New England States Consortium Systems Organization

RILWAN FEYISTIAN

Integrated Healthcare Partners

Related by address

910 DOUGLAS PIKE, SMITHFIELD, RI, 02917, USA

UVEX SPORTS, INC. PPC, Inc.

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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