| Name: | INNOVATIVE SENIOR CARE HOME HEALTH OF RHODE ISLAND, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Jun 2011 (14 years ago) |
| Identification Number: | 000685142 |
| Place of Formation: | DELAWARE |
| Principal Address: | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508, USA |
| Purpose: | HOME HEALTH CARE SERVICES |
| NAICS: | 621610 - Home Health Care Services |
| Fictitious names: |
Nurse On Call (trading name, 2018-11-30 - ) Brookdale Home Health Rhode Island (trading name, 2013-11-20 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962140772 | 2022-05-23 | 2022-05-23 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 1215 MAIN RD, TIVERTON, RI, 028784246, US | |||||||||||||||||||||||||
|
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| Phone | +1 337-233-1307 |
| Fax | 3374434154 |
| Phone | +1 844-325-2702 |
Authorized person
| Name | NICHOLAS GACHASSIN III |
| Role | EXECUTIVE VICE PRESIDENT |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| A. BRUCE MOORE JR. | MANAGER | ONE PARK PLAZA NASHVILLE, TN 37203 USA |
| JOSEPH A. SOWELL III | MANAGER | ONE PARK PLAZA NASHVILLE, TN 37203 USA |
| Number | Name | File Date |
|---|---|---|
| 202453023870 | Annual Report | 2024-04-29 |
| 202343184610 | Statement of Change of Registered/Resident Agent | 2023-12-04 |
| 202334905460 | Annual Report | 2023-05-01 |
| 202219915920 | Statement of Change of Registered/Resident Agent | 2022-06-23 |
| 202218576690 | Annual Report | 2022-06-15 |
| 202103455660 | Annual Report | 2021-10-19 |
| 202100244410 | Statement of Change of Registered/Resident Agent | 2021-08-19 |
| 202068947820 | Annual Report | 2020-10-27 |
| 201926692520 | Annual Report | 2019-11-01 |
| 201882025190 | Fictitious Business Name Statement | 2018-11-30 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
