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HOPE NURSING HOME CARE, LLC

Company Details

Name: HOPE NURSING HOME CARE, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 06 Jun 2003 (22 years ago)
Identification Number: 000132631
Principal Address: 4000 PARAMOUNT PARKWAY SUITE 100, MORRESVILLE, NC, 27560, USA
Purpose: PROVIDING HOME HEALTH CARE IN RESIDENTIAL SETTING.
Fictitious names: Amivie (trading name, 2025-04-07 - )

Industry & Business Activity

NAICS

621610 Home Health Care Services

This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609955822 2006-11-06 2023-11-30 1049 PARK AVE, CRANSTON, RI, 029103238, US 1049 PARK AVE, CRANSTON, RI, 029103238, US

Contacts

Phone +1 401-467-8588
Fax 4014674224

Authorized person

Name MRS. MARY ROBERTS SAWYER
Role REVENUE CYCLE MANAGER
Phone 2527246145

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number HNC02315
State RI
Is Primary Yes
Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary No

Other Provider Identifiers

Issuer HOME HEALTH, MEDICAID
Number HN50619
State RI
Issuer MEDICAID
Number 1609955822
State RI
Issuer STATE OF RI DHCHFR
Number HNC02419-01
State RI
Issuer STATE OF RI DHCHFR
Number HNC02419
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOPE NURSING HOME CARE 401 K PROFIT SHARING PLAN TRUST 2017 562365213 2018-05-04 HOPE NURSING HOME CARE 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 623000
Sponsor’s telephone number 4014678588
Plan sponsor’s address 1047 PARK AVE # 3, CRANSTON, RI, 029103238

Signature of

Role Plan administrator
Date 2018-05-04
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE 401 K PROFIT SHARING PLAN TRUST 2016 562365213 2017-06-22 HOPE NURSING HOME CARE 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 623000
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714

Signature of

Role Plan administrator
Date 2017-06-22
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401(K) PROFIT SHARING PLAN 2015 562365213 2016-03-23 HOPE NURSING HOME CARE LLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714

Signature of

Role Plan administrator
Date 2016-03-23
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-23
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401(K) PROFIT SHARING PLAN 2014 562365213 2015-04-14 HOPE NURSING HOME CARE LLC 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714

Signature of

Role Plan administrator
Date 2015-04-14
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-14
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401(K) PROFIT SHARING PLAN 2013 562365213 2014-06-20 HOPE NURSING HOME CARE LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714

Signature of

Role Plan administrator
Date 2014-06-20
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing IRENE QI
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST 2012 562365213 2013-06-03 HOPE NURSING HOME CARE LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714

Signature of

Role Plan administrator
Date 2013-06-03
Name of individual signing HOPE NURSING HOME CARE LLC
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST 2011 562365213 2012-07-13 HOPE NURSING HOME CARE LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714

Plan administrator’s name and address

Administrator’s EIN 562365213
Plan administrator’s name HOPE NURSING HOME CARE LLC
Plan administrator’s address 478 RESERVOIR AVE, CRANSTON, RI, 029101714
Administrator’s telephone number 4014678588

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing HOPE NURSING HOME CARE LLC
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST 2010 562365213 2011-07-01 HOPE NURSING HOME CARE LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 562365213
Plan administrator’s name HOPE NURSING HOME CARE LLC
Plan administrator’s address 478 RESERVOIR AVE, CRANSTON, RI, 02920
Administrator’s telephone number 4014678588

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing HOPE NURSING HOME CARE LLC
Valid signature Filed with authorized/valid electronic signature
HOPE NURSING HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST 2010 562365213 2011-07-01 HOPE NURSING HOME CARE LLC 25
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 4014678588
Plan sponsor’s address 478 RESERVOIR AVE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 562365213
Plan administrator’s name HOPE NURSING HOME CARE LLC
Plan administrator’s address 478 RESERVOIR AVE, CRANSTON, RI, 02920
Administrator’s telephone number 4014678588

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing HOPE NURSING HOME CARE LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

Filings

Number Name File Date
202453699660 Annual Report 2024-05-01
202338640150 Annual Report 2023-06-23
202337233560 Revocation Notice For Failure to File An Annual Report 2023-06-16
202218330760 Annual Report - Amended 2022-06-06
202218330490 Articles of Amendment 2022-06-06
202218330670 Statement of Change of Registered/Resident Agent 2022-06-06
202218073720 Annual Report - Amended 2022-06-01
202211273820 Annual Report 2022-02-21
202102667730 Annual Report 2021-10-05
202102117820 Statement of Change of Registered/Resident Agent 2021-09-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4125738402 2021-02-06 0165 PPS 1049 PARK AVE, CRANSTON, RI, 02910
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1504355
Loan Approval Amount (current) 1504355
Undisbursed Amount 0
Franchise Name -
Lender Location ID 98258
Servicing Lender Name HarborOne Bank
Servicing Lender Address 770 Oak St, BROCKTON, MA, 02301-1100
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CRANSTON, PROVIDENCE, RI, 02910
Project Congressional District RI-01
Number of Employees 273
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 98258
Originating Lender Name HarborOne Bank
Originating Lender Address BROCKTON, MA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1512062.24
Forgiveness Paid Date 2021-08-18
6981657702 2020-05-01 0165 PPP 1049 PARK AVE, CRANSTON, RI, 02910-3238
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1210152
Loan Approval Amount (current) 1210152
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address CRANSTON, PROVIDENCE, RI, 02910-3238
Project Congressional District RI-01
Number of Employees 298
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1220927.33
Forgiveness Paid Date 2021-03-23

Date of last update: 11 Apr 2025

Sources: Rhode Island Department of State