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 (25 years ago) |
Identification Number: | 000114549 |
ZIP code: | 02917 |
County: | Providence County |
Principal Address: | 910 DOUGLAS PIKE, SMITHFIELD, RI, 02917, USA |
Purpose: | HEALTH MAINTENANCE ORGANIZATION |
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 |
NAICS
524114 Direct Health and Medical Insurance CarriersThis U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. Group hospitalization plans and HMO establishments that provide health and medical insurance policies without providing health care services are included in this industry. Learn more at the U.S. Census Bureau
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 | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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 |
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 |
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 |
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 |
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 |
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 |
Name | Role | Address |
---|---|---|
DON E. WINEBERG, ESQ. | Agent | ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
PETER MARINO | PRESIDENT | 910 DOUGLAS PIKE SMITHFIELD, RI 02917 USA |
Name | Role | Address |
---|---|---|
MERRILL THOMAS | TREASURER | 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA |
Name | Role | Address |
---|---|---|
PABLO RODRIGUEZ M.D. | DIRECTOR | 407 EAST AVE-STE 150 PAWTUCKET, RI 02860 USA |
PETER BANCROFT | DIRECTOR | 36 BRIDGEWAY PASCOAG, RI 02859 USA |
DIOSCARIS GARCIA | DIRECTOR | 26 CEDARBROOK ROAD PAWTUCKET, RI 02861 USA |
YAHAIRA PLACENCIA | DIRECTOR | 100 WESTMINSTER ST PROVIDENCE, RI 02908 USA |
DANIEL DAPONTE | DIRECTOR | 400 MASSASOIT AVENUE, SUITE 112 EAST PROVIDENCE, RI 02914 USA |
ELENA NICOLELLA | DIRECTOR | 235 PROMENADE STREET, SUITE 455 PROVIDENCE, RI 02908 USA |
RILWAN FEYISTIAN | DIRECTOR | 15 SOUTH WILLIAMS STREET JOHNSTON, RI 02919 USA |
CHARLES JONES | DIRECTOR | 186 PROVIDENCE ST WEST WARWICK, RI 02893 USA |
CRISTINA PACHECO MD | DIRECTOR | 39 EAST AVE PAWTUCKET, RI 02860 USA |
ELIZABETH CATUCCI | DIRECTOR | 6 BLACKSTONE VALLEY PL, BUILDING 402, 2ND FLOOR LINCOLN, RI 02865 USA |
Name | Role | Address |
---|---|---|
ALISON CROKE | CHAIR | 823 MAIN STREET HOPE VALLEY, RI 02832 USA |
Name | Role | Address |
---|---|---|
BRENDA DOWLATSHAHI | VICE CHAIR | 1126 HARTFORD AVE JOHNSTON, RI 02919 USA |
Name | Role | Address |
---|---|---|
LISA RANGLIN | SECRETARY | THREE REGENCY PLAZA, STE 3 EAST PROVIDENCE, RI 02903 USA |
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 |
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 |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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05-0477052 | Corporation | Unconditional Exemption | 910 DOUGLAS PIKE, SMITHFIELD, RI, 02917-1874 | 2002-06 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Description | Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. |
On Publication 78 Data List | Yes |
Deductibility | Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions) |
Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 202212 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 202212 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 202112 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 202112 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 202012 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 202012 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201912 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201912 |
Filing Type | P |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201812 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201812 |
Filing Type | P |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201812 |
Filing Type | P |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201712 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201712 |
Filing Type | P |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201612 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201612 |
Filing Type | E |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201612 |
Filing Type | P |
Return Type | 990T |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201512 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
EIN | 05-0477052 |
Tax Period | 201512 |
Filing Type | P |
Return Type | 990T |
File | View File |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State