| Name: | WATERVIEW 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: | 000582616 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 1275 SOUTH BROADWAY, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | OPERATE NURSING HOME FACILITIES |
| Fictitious names: |
Waterview Villa 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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053313791 | 2005-08-12 | 2023-02-16 | 1275 S BROADWAY, EAST PROVIDENCE, RI, 029144932, US | 1275 S BROADWAY, EAST PROVIDENCE, RI, 029144932, US | |||||||||||||||||||||||||
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| Phone | +1 401-438-7020 |
| Fax | 4014380013 |
Authorized person
| Name | LAWRENCE G. SANTILLI |
| Role | MANAGER |
| Phone | 8607513900 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | C610 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | WA85796 |
| 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 |
|---|---|---|
| 202451817570 | Annual Report | 2024-04-22 |
| 202334449090 | Annual Report | 2023-04-28 |
| 202216445790 | Annual Report | 2022-04-30 |
| 202103380070 | Annual Report | 2021-10-18 |
| 202060272290 | Annual Report | 2020-10-02 |
| 201926834010 | Annual Report | 2019-11-05 |
| 201983986660 | Annual Report | 2019-01-08 |
| 201749301380 | Annual Report | 2017-09-05 |
| 201608448700 | Annual Report | 2016-09-06 |
| 201580161370 | Annual Report | 2015-09-22 |
Date of last update: 15 Oct 2024
Sources: Rhode Island Department of State
