| Name: | COMMUNITY LIVING OF RHODE ISLAND INCORPORATED |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Nov 2000 (24 years ago) |
| Identification Number: | 000115241 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 1575 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA |
| Purpose: | PROVIDE STAFFING SERVICES IN NURSING AND SPECIAL NEED INDIVIDUALS, A PROVIDER IN HUMAN SERVICES. |
| Historical names: |
TENDER CARE ALTERNATIIVE SERVICES, INCORPORATED |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053538041 | 2007-04-19 | 2011-07-13 | 349 CENTERVILLE ROAD BLDG 6, BLDG 6, WARWICK, RI, 02886, US | 349 CENTERVILLE ROAD BLDG 6, BLDG 6, WARWICK, RI, 02886, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-739-9006 |
| Fax | 4017396009 |
Authorized person
| Name | MR. JOSEPH N ONYEJOSE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4017399006 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 330 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | CL54941 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| RICHARD W. NICHOLSON, ESQ. | Agent | 9 THURBER BOULEVARD SUITE D, SMITHFIELD, RI, 02917, USA |
| Name | Role | Address |
|---|---|---|
| MARY ONYEJHOSE | PRESIDENT | 349 CENTERVILLE ROAD, BUILDING 6 WARWICK, RI 02886 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2001-10-23 | TENDER CARE ALTERNATIIVE SERVICES, INCORPORATED | COMMUNITY LIVING OF RHODE ISLAND INCORPORATED |
| Number | Name | File Date |
|---|---|---|
| 202449017470 | Annual Report | 2024-03-21 |
| 202343574510 | Annual Report - Amended | 2023-12-27 |
| 202336366520 | Annual Report | 2023-05-31 |
| 202208930080 | Annual Report - Amended | 2022-01-31 |
| 202208925680 | Annual Report | 2022-01-31 |
| 202197310580 | Annual Report | 2021-06-01 |
| 202196799250 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202034555280 | Annual Report | 2020-02-17 |
| 201987771000 | Annual Report | 2019-02-28 |
| 201872837930 | Statement of Change of Registered/Resident Agent Office | 2018-07-26 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
