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PROSPECT CHARTERCARE ELMHURST, LLC

Company Details

Name: PROSPECT CHARTERCARE ELMHURST, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 21 Aug 2013 (12 years ago)
Date of Dissolution: 22 Jul 2019 (6 years ago)
Date of Status Change: 22 Jul 2019 (6 years ago)
Identification Number: 000823573
Purpose: HEALTH CARE
Fictitious names: Elmhurst Extended Care Facility (trading name, 2014-03-25 - )
Principal Address: Google Maps Logo 3415 SOUTH SEPULVEDA BOULEVARD 9TH FLOOR, LOS ANGELES, CA, 90034, USA

Industry & Business Activity

NAICS

621999 All Other Miscellaneous Ambulatory Health Care Services

This U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). 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:
1457776452
Certification Date:
2021-01-15

Authorized Person:

Name:
ROBERT JON ELDERS
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
4014566862

Filings

Number Name File Date
201906378150 Revocation Certificate For Failure to File the Annual Report for the Year 2019-07-22
201992571350 Revocation Notice For Failure to File An Annual Report 2019-05-13
201752674000 Annual Report 2017-11-01
201628547650 Annual Report - Amended 2016-12-05
201609403410 Annual Report 2016-09-26

OSHA's Inspections within Industry

Inspection Summary

Date:
1998-05-11
Type:
Planned
Address:
50 MAUDE STREET, PROVIDENCE, RI, 02908
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
1998-05-11
Type:
Planned
Address:
50 MAUDE STREET, PROVIDENCE, RI, 02908
Safety Health:
Safety
Scope:
Complete

Date of last update: 31 May 2025

Sources: Rhode Island Department of State