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PROSPECT CHARTERCARE SJHSRI, LLC

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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 (5 months ago)
Date of Status Change: 13 Feb 2025 (5 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

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
7PGL1
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-02-27
CAGE Expiration:
2022-06-21

Contact Information

POC:
JAY BURSTEIN

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

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2025-02-06
Action:
InitialFiling

Parties

Party Name:
PROSPECT CHARTERCARE SJHSRI, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2025-02-03
Action:
Continuation

Parties

Party Name:
PROSPECT CHARTERCARE SJHSRI, LLC
Party Role:
Debtor(s)
Party Name:
PROSPECT MEDICAL HOLDINGS, INC.
Party Role:
Debtor(s)
Party Name:
CORPORATION SERVICE COMPANY, AS REPRESENTATIVE
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2024-10-31
Action:
Continuation

Parties

Party Name:
PROSPECT CHARTERCARE SJHSRI, LLC
Party Role:
Debtor(s)

Expenditures

Agency Date Program Subprogram Amount
Department of Health 2025-05-06 Community and Family Health and Equity Chronic Care and Disease Management 210.04
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

USAspending Awards / Contracts

Procurement Instrument Identifier:
W912LD16A0034
Award Or Idv Flag:
IDV
Action Obligation:
$0
Base And All Options Value:
$150,000
Awarding Agency Name:
Department of Defense
Performance Start Date:
2016-08-25
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

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Date of last update: 13 Jul 2025

Sources: Rhode Island Department of State