| Name: | STATEWIDE HEALTH SERVICES INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 21 Dec 2004 (20 years ago) |
| Date of Dissolution: | 20 Oct 2008 (16 years ago) |
| Date of Status Change: | 20 Oct 2008 (16 years ago) |
| Identification Number: | 000144574 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 2905 POST ROAD, WARWICK, RI, 02886- |
| Purpose: | PROVIDE NURSING SERVICES THROUGH THE OPERATION OF A PLACEMENT AGENCY WHEREBY NURSING CARE WILL BE FURNISHED TO INDIVIDUALS AND BUSINESSES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134222441 | 2006-09-06 | 2020-08-22 | 2905 POST RD, STE 5, WARWICK, RI, 028863174, US | 2905 POST RD, STE 5, WARWICK, RI, 028863174, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 401-738-7775 |
| Fax | 4017370414 |
Authorized person
| Name | MRS. SANDRA A DIONNE |
| Role | OWNER PRESIDENT |
| Phone | 4017387775 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HCP02436 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 5W55741 |
| State | RI |
| Issuer | MEDICAID |
| Number | 5W55742 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JOHN D. BIAFORE | Agent | 26 SHIP STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SANDRA A DIONNE | PRESIDENT | 2905 POST ROAD WARWICK, RI 02886- USA |
| Number | Name | File Date |
|---|---|---|
| 200836699520 | Revocation Certificate For Failure to File the Annual Report for the Year | 2008-10-20 |
| 200813126250 | Revocation Notice For Failure to File An Annual Report | 2008-08-04 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
