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PROSPECT CHARTERCARE SJHSRI, LLC

Company Details

Name: PROSPECT CHARTERCARE SJHSRI, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Bankruptcy
Date of Organization in Rhode Island: 21 Aug 2013 (12 years ago)
Date of Dissolution: 13 Feb 2025 (4 months ago)
Date of Status Change: 13 Feb 2025 (4 months ago)
Identification Number: 000823569
Purpose: HEALTHCARE
Fictitious names: St. Joseph School of Nursing (trading name, 2014-07-21 - )
Our Lady of Fatima Hospital (trading name, 2014-03-25 - )
Fatima Hospital (trading name, 2014-03-25 - )
Fatima Hospital Radiology (trading name, 2014-03-25 - )
Fatima Hospital Out Patient Rehabilitation (trading name, 2014-03-25 - )
Fatima Hospital Rehabilitation Group (trading name, 2014-03-25 - )
Fatima Hospital Psychiatric/Social Services Group (trading name, 2014-03-25 - )
Southern New England Rehabilitation Center (trading name, 2014-03-25 - )
St. Joseph Dental Associates (trading name, 2014-03-25 - )
St. Joseph APC/Walk-In Group (trading name, 2014-03-25 - )
St. Joseph OB/GYN Group (trading name, 2014-03-25 - )
St. Joseph Pediatric Group (trading name, 2014-03-25 - )
St. Joseph Health Center (trading name, 2014-03-25 - )
Fatima Hospital Breast Health Group (trading name, 2014-03-25 - )
Fatima Hospital Wound Care Group (trading name, 2014-03-25 - )
Fatima Hospital Cardiology Group (trading name, 2014-03-25 - )
Historical names: Prospect CharterCare SJHRSI, LLC
Principal Address: Google Maps Logo 3824 HUGHES AVE., CULVER CITY, CA, 90232, USA

Contact Details

Phone +1 401-456-3000
+1 401-456-3180
+1 401-456-2290

Industry & Business Activity

NAICS

621610 Home Health Care Services

This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Learn more at the U.S. Census Bureau

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

National Provider Identifier

NPI Number:
1821656034
Certification Date:
2021-01-15

Authorized Person:

Name:
ROBERT JON ELDERS
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Events

Type Date Old Value New Value
Name Change 2013-08-22 Prospect CharterCare SJHRSI, LLC PROSPECT CHARTERCARE SJHSRI, LLC

Licenses

License No License Type Status Date Issued Expiration Date
PHB00058 Pharmacy -Institutional Active 2025-04-14 2025-09-30
HRF0025 Hospital Radiology Facility Active 2025-03-24 2025-08-31
HRF0021 Hospital Radiology Facility Active 2015-12-04 2025-08-31
HOS00132 Hospital Active 2014-06-20 2025-12-31
HOS00132-07 Hospital Premises Active 2014-06-20 2025-12-31

Filings

Number Name File Date
202450553910 Annual Report 2024-04-09
202333381670 Annual Report 2023-04-20
202214691180 Annual Report 2022-04-14
202102308660 Annual Report 2021-09-29
202056092110 Annual Report 2020-09-18

Expenditures

Agency Date Program Subprogram Amount
Office of Health and Human Services 2025-04-18 Medical Assistance Hospitals 209664.84
Department of Health 2025-04-15 Community and Family Health and Equity Chronic Care and Disease Management 23.04
Department of Health 2025-03-21 Community and Family Health and Equity Chronic Care and Disease Management 842.56
Department of Health 2025-02-07 Community and Family Health and Equity Chronic Care and Disease Management 108.05
Office of Health and Human Services 2025-01-17 Medical Assistance Hospitals 209664.84

USAspending Awards / Contracts

Procurement Instrument Identifier:
W912LD16A0034
Award Or Idv Flag:
IDV
Awarding Agency Name:
Department of Defense
Performance Start Date:
2016-08-25
Total Dollars Obligated:
0.00
Potential Total Value Of Award:
150000.00
Description:
IGF::OT::IGF MEDICAL PHYSICAL
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q301: MEDICAL- LABORATORY TESTING

OSHA's Inspections within Industry

Inspection Summary

Date:
2024-01-22
Type:
Complaint
Address:
200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904
Safety Health:
Safety
Scope:
Partial

Inspection Summary

Date:
2021-12-07
Type:
Complaint
Address:
200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904
Safety Health:
Health
Scope:
Partial

Date of last update: 31 May 2025

Sources: Rhode Island Department of State