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Vital Care of Rhode Island Inc.

Company Details

Name: Vital Care of Rhode Island Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 11 Jun 2003 (22 years ago)
Date of Dissolution: 27 Jun 2014 (11 years ago)
Date of Status Change: 27 Jun 2014 (11 years ago)
Identification Number: 000132532
ZIP code: 02865
County: Providence County
Principal Address: 1525 OLD LOUISQUISSET PIKE A205, LINCOLN, RI, 02865, USA
Purpose: HOME NURSING CARE COMPANY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215914015 2005-12-22 2020-08-22 1525 LOUISQUISSET PIKE, BUILDING A SUITE 205, LINCOLN, RI, 028654503, US 1525 LOUISQUISSET PIKE, BUILDING A SUITE 205, LINCOLN, RI, 028654503, US

Contacts

Phone +1 401-726-7744
Fax 4017267774

Authorized person

Name MS. KIM MARIE GILBERT
Role PRESIDENT / ADMINISTRATOR
Phone 4017267744

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number HNC00296
State RI
Is Primary Yes

Other Provider Identifiers

Issuer BCBS OF RI
Number 5869-0
State RI
Issuer UNITED HEALTH CARE OF NE
Number 1022615
State RI
Issuer MEDICAID
Number VC51541
State RI
Issuer MEDICAID
Number VC53434
State RI
Issuer NHPRI
Number 30263
State RI
Issuer BLUE CHIP COORDINATED PAR
Number 411764
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VITAL CARE OF RHODE ISLAND, INC. 2013 134268162 2014-02-24 VITAL CARE OF RHODE ISLAND, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4017267744
Plan sponsor’s DBA name VITAL CARE OF RHODE ISLAND, INC.
Plan sponsor’s address 1525 OLD LOUISQUISSET PIKE, A205, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2014-02-24
Name of individual signing KIM GILBERT
Valid signature Filed with authorized/valid electronic signature
VITAL CARE OF RHODE ISLAND INC 2012 134268162 2013-07-25 VITAL CARE OF RHODE ISLAND INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4017267744
Plan sponsor’s address 1525 OLD LOUISQUISSET PIKE A205, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing KIM GILBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing KIM GILBERT
Valid signature Filed with authorized/valid electronic signature
VITAL CARE OF RHODE ISLAND, INC. 2011 134268162 2012-08-10 VITAL CARE OF RHODE ISLAND, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4017267744
Plan sponsor’s address 1525 OLD LOUISQUISSET PIKE, A 205, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 134268162
Plan administrator’s name VITAL CARE OF RHODE ISLAND, INC.
Plan administrator’s address 1525 OLD LOUISQUISSET PIKE, A 205, LINCOLN, RI, 02865
Administrator’s telephone number 4017267744

Signature of

Role Plan administrator
Date 2012-08-10
Name of individual signing KIM GILBERT
Valid signature Filed with authorized/valid electronic signature
VITAL CARE OF RHODE ISLAND INC 401 K PROFIT SHARING PLAN TRUST 2010 134268162 2011-06-23 VITAL CARE OF RHODE ISLAND INC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4017267744
Plan sponsor’s address 1525 LOUISQUISETT PIKE, LINCOLN, RI, 02865

Plan administrator’s name and address

Administrator’s EIN 134268162
Plan administrator’s name VITAL CARE OF RHODE ISLAND INC
Plan administrator’s address 1525 LOUISQUISETT PIKE, LINCOLN, RI, 02865
Administrator’s telephone number 4017267744

Signature of

Role Plan administrator
Date 2011-06-23
Name of individual signing VITAL CARE OF RHODE ISLAND INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KIM M. GILBERT Agent 1525 OLD LOUISQUISSET PIKE, LINCOLN, RI, 02865, USA

PRESIDENT

Name Role Address
KIM GILBERT PRESIDENT 74 SMITH STREET LINCOLN, RI 02865- USA

Filings

Number Name File Date
201442026120 Articles of Dissolution 2014-06-27
201440911040 Annual Report 2014-06-12
201439503780 Revocation Notice For Failure to File An Annual Report 2014-05-20
201312287080 Annual Report 2013-02-21
201288814640 Annual Report 2012-01-31
201174074420 Annual Report 2011-01-26
201060890820 Annual Report 2010-03-25
200944809260 Annual Report 2009-04-02
200808608790 Annual Report 2008-02-13

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State