| 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. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Historical names: |
TENDER CARE ALTERNATIIVE SERVICES, INCORPORATED |
| 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: 08 Oct 2024
Sources: Rhode Island Department of State
