| Name: | Brentwood Health Center, Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Jul 2002 (22 years ago) |
| Identification Number: | 000126095 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 4000 POST ROAD, WARWICK, RI, 02886, USA |
| Purpose: | TO ACQUIRE, OWN, OPERATE AND MANAGE A SKILLED NURSING FACILITY FOR THE PURPOSE OF PROVIDING CONVALESCENT, REHABILITATIVE AND RELATED HEALTH CARE SERVICES |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Brentwood Nursing Home (trading name, 2021-06-04 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497721203 | 2006-02-23 | 2020-08-22 | 4000 POST RD, WARWICK, RI, 028869200, US | 4000 POST RD, WARWICK, RI, 028869200, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-884-8020 |
| Fax | 4018847977 |
Authorized person
| Name | MR. MICHAEL P MCMAHON |
| Role | ADMISSION DIRECTOR |
| Phone | 4018848020 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 000731 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUSAN LEACH DEBLASIO, ESQ. | Agent | ADLER POLLOCK & SHEEHAN P.C. ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| RICHARD J MIGA JR | TREASURER | 4000 POST ROAD WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| RICHARD J MIGA JR | SECRETARY | 4000 POST ROAD WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| RICHARD J MIGA JR. | PRESIDENT | 4000 POST ROAD WARWICK, RI 02886- USA |
| Name | Role | Address |
|---|---|---|
| RICHARD J MIGA JR | DIRECTOR | 4000 POST ROAD WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 202452941760 | Annual Report | 2024-04-29 |
| 202338838980 | Annual Report | 2023-06-28 |
| 202338058810 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202215308870 | Annual Report | 2022-04-20 |
| 202197846610 | Fictitious Business Name Statement | 2021-06-04 |
| 202192398970 | Annual Report | 2021-02-22 |
| 202071074070 | Annual Report | 2020-11-03 |
| 202055022000 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201988959560 | Annual Report | 2019-03-20 |
| 201983610240 | Annual Report - Amended | 2019-01-03 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
