| Name: | BAYSIDE NURSING, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 15 Apr 2003 (22 years ago) |
| Date of Dissolution: | 29 Dec 2020 (4 years ago) |
| Date of Status Change: | 29 Dec 2020 (4 years ago) |
| Identification Number: | 000131360 |
| ZIP code: | 02889 |
| County: | Kent County |
| Principal Address: | 135 REYNOLDS AVENUE, WARWICK, RI, 02889, USA |
| Purpose: | SKILLED AND NON-SKILLED HOME NURSING CARE AGENCY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417072273 | 2007-03-20 | 2009-02-11 | 177 AIRPORT ROAD, WARWICK, RI, 02889, US | 177 AIRPORT ROAD, WARWICK, RI, 02889, US | |||||||||||||||||||||||||
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| Phone | +1 401-921-5995 |
| Fax | 4019215998 |
Authorized person
| Name | MRS. ANN MARIE ST ONGE |
| Role | CEO |
| Phone | 4019215995 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HN02321 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | BN02295 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ANN MARIE ST. ONGE | Agent | 135 REYNOLDS AVENUE, WARWICK, RI, 02889, USA |
| Name | Role | Address |
|---|---|---|
| ANN MARIE STONGE | Manager | 188 AIRPORT ROAD, SUITE 1 WARWICK, RI 02889 USA |
| Number | Name | File Date |
|---|---|---|
| 202082388100 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-29 |
| 202045496480 | Revocation Notice For Failure to File An Annual Report | 2020-07-20 |
| 201880432170 | Annual Report | 2018-10-30 |
| 201880431470 | Statement of Change of Registered/Resident Agent | 2018-10-30 |
| 201878863050 | Miscellaneous Filing (No Fee) | 2018-10-04 |
| 201877698310 | Revocation Notice For Failure to Maintain a Registered Office | 2018-09-18 |
| 201876196420 | Registered Office Not Maintained | 2018-08-20 |
| 201752094420 | Annual Report | 2017-10-24 |
| 201610813990 | Annual Report | 2016-10-21 |
| 201587177310 | Annual Report | 2015-11-02 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 314919705 | 0112300 | 2011-10-03 | 177 AIRPORT ROAD, WARWICK, RI, 02889 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 208442483 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101030 D03 I |
| Issuance Date | 2011-10-20 |
| Abatement Due Date | 2012-01-31 |
| Initial Penalty | 3500.0 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Related Event Code (REC) | Complaint |
| Gravity | 05 |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19101030 D04 IIA |
| Issuance Date | 2011-10-20 |
| Abatement Due Date | 2012-01-31 |
| Initial Penalty | 3500.0 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Related Event Code (REC) | Complaint |
| Gravity | 05 |
| Citation ID | 01003 |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 IIA |
| Issuance Date | 2011-10-20 |
| Abatement Due Date | 2012-01-31 |
| Current Penalty | 3000.0 |
| Initial Penalty | 3500.0 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Related Event Code (REC) | Complaint |
| Gravity | 05 |
| Citation ID | 01004 |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2011-10-20 |
| Abatement Due Date | 2011-12-06 |
| Current Penalty | 2000.0 |
| Initial Penalty | 2800.0 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Gravity | 05 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040029 B01 |
| Issuance Date | 2011-10-20 |
| Abatement Due Date | 2011-12-06 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Gravity | 00 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19040032 B02 |
| Issuance Date | 2011-10-20 |
| Abatement Due Date | 2011-12-06 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Gravity | 00 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
