| 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 |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Waterview Villa Rehabilitation and Health Care Center (trading name, 2014-11-12 - ) |
| 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
