| Name: | Spring Villa, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 May 2011 (14 years ago) |
| Identification Number: | 000666750 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 57 MOUNTAINDALE ROAD, SMITHFIELD, RI, 02917, USA |
| Purpose: | ASSISTED LIVING CENTER Title: 7-1.2-1701 |
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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992128540 | 2014-01-31 | 2014-01-31 | 59 PLEASANT ST, WEST WARWICK, RI, 028935630, US | 59 PLEASANT ST, WEST WARWICK, RI, 028935630, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 401-615-2888 |
Authorized person
| Name | MICHELLE PIANKA |
| Role | VICE PRES |
| Phone | 4012267032 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | ALR01487 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | MEDICAID WAIVER |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPRING VILLA, INC. 401K PLAN | 2023 | 452348205 | 2024-09-26 | SPRING VILLA, INC. | 9 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-09-26 |
| Name of individual signing | CRAIG PIANKA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Sponsor’s telephone number | 4016152888 |
| Plan sponsor’s address | 59 PLEASANT STREET, WEST WARWICK, RI, 02895 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-05 |
| Name of individual signing | CRAIG PIANKA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CRAIG PIANKA | Agent | 57 MOUNTAINDALE ROAD, SMITHFIELD, RI, 02917, USA |
| Name | Role | Address |
|---|---|---|
| CRAIG PIANKA | PRESIDENT | 57 MOUNTAINDALE ROAD SMITHFIELD , RI 02917 USA |
| Name | Role |
|---|---|
| CRAIG PIANKA | OTHER OFFICER |
| Number | Name | File Date |
|---|---|---|
| 202446368070 | Annual Report | 2024-02-14 |
| 202332891710 | Annual Report | 2023-04-13 |
| 202209866720 | Annual Report | 2022-02-09 |
| 202184928240 | Annual Report | 2021-01-07 |
| 202035422590 | Annual Report | 2020-02-28 |
| 201983484760 | Annual Report | 2019-01-01 |
| 201858936660 | Annual Report | 2018-02-23 |
| 201730126480 | Annual Report | 2017-01-16 |
| 201691083910 | Annual Report | 2016-01-22 |
| 201691084160 | Annual Report | 2016-01-22 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4671645005 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | No data | No data | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||
|
||||||||||||||||||||||||
| 4424065000 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
|
||||||||||||||||||||||||
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9103957001 | 2020-04-09 | 0165 | PPP | 57 MOUNTAINDALE RD, SMITHFIELD, RI, 02917-2202 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8079787003 | 2020-04-08 | 0165 | PPP | 51 LAUREL AVE, COVENTRY, RI, 02816-5329 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
