| 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 |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Summit Commons Rehabilitation and Health Care Center (trading name, 2014-11-12 - ) |
| 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 | 36C24124K0189 | 2023-12-01 | 2024-09-30 | 2024-09-30 | |||||||||||||||||||||||||
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| 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
