| Name: | SUMMIT RI SNF LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 Feb 2011 (14 years ago) |
| Identification Number: | 000582615 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 99 HILLSIDE AVENUE, PROVIDENCE, RI, 02906, USA |
| Purpose: | TO OPERATE A NURSING HOME |
| Fictitious names: |
Summit Commons Rehabilitation and Health Care Center (trading name, 2014-11-12 - ) |
NAICS
623110 Nursing Care Facilities (Skilled Nursing Facilities)This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184892374 | 2008-02-11 | 2023-02-16 | 99 HILLSIDE AVE, PROVIDENCE, RI, 029062943, US | 99 HILLSIDE AVE, PROVIDENCE, RI, 029062943, US | |||||||||||||||||||||||||||
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| Phone | +1 401-574-4800 |
| Fax | 4012784937 |
| Phone | +1 401-278-4934 |
Authorized person
| Name | LAWRENCE G. SANTILLI |
| Role | MANAGER |
| Phone | 8607513900 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00754 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | SU85797 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| LAWRENCE G. SANTILLI | MANAGER | 135 SOUTH ROAD FARMINGTON, CT 06032 USA |
| Number | Name | File Date |
|---|---|---|
| 202451820020 | Annual Report | 2024-04-22 |
| 202333844030 | Annual Report | 2023-04-25 |
| 202216447640 | Annual Report | 2022-04-30 |
| 202103379380 | Annual Report | 2021-10-18 |
| 202060263180 | Annual Report | 2020-10-02 |
| 201926829520 | Annual Report | 2019-11-05 |
| 201984543510 | Annual Report | 2019-01-16 |
| 201749300400 | Annual Report | 2017-09-05 |
| 201608448340 | Annual Report | 2016-09-06 |
| 201580160490 | Annual Report | 2015-09-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24125K0049 | 2024-11-01 | 2024-11-30 | 2024-11-30 | |||||||||||||||||||||||||
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| Obligated Amount | 2140.59 |
| Current Award Amount | 2140.59 |
| Potential Award Amount | 2140.59 |
Description
| Title | NURSING HOME CARE |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | SUMMIT RI SNF LLC |
| UEI | FCYHBDFLCKJ8 |
| Recipient Address | UNITED STATES, 99 HILLSIDE AVE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029062943 |
| Unique Award Key | CONT_AWD_36C24124K0189_3600_36C24124D0057_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 925601.05 |
| Current Award Amount | 925601.05 |
| Potential Award Amount | 925601.05 |
Description
| Title | EXPRESS REPORT: CNH |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | SUMMIT RI SNF LLC |
| UEI | FCYHBDFLCKJ8 |
| Recipient Address | UNITED STATES, 99 HILLSIDE AVE, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029062943 |
Date of last update: 15 Oct 2024
Sources: Rhode Island Department of State
