| 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 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
