Name: | Saint Elizabeth at Home Corp. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Non-Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 22 Jun 2015 (10 years ago) |
Identification Number: | 001337287 |
ZIP code: | 02886 |
County: | Kent County |
Principal Address: | 2364 POST RD. SUITE 100, WARWICK, RI, 02886, USA |
Purpose: | TO OPERATE A LICENSED HOME NURSING CARE PROVIDER, HOME HEALTH AND STAFFING COMPANY |
NAICS: | 621610 - Home Health Care Services |
Fictitious names: |
Saint Elizabeth Home Care (trading name, 2021-07-29 - ) Cathleen Naughton Associates (trading name, 2016-02-12 - ) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437114436 | 2006-04-20 | 2016-06-27 | 249 WICKENDEN ST, PROVIDENCE, RI, 029034422, US | 249 WICKENDEN ST, PROVIDENCE, RI, 029034422, US | |||||||||||||||||||||||||||||||
|
Phone | +1 401-751-9660 |
Fax | 4018312157 |
Authorized person
Name | CAROLINE M RUMOWICZ |
Role | DIRECTOR |
Phone | 4017519660 |
Taxonomy
Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
License Number | 2204 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 4107038 |
State | RI |
Issuer | BLUE CROSS |
Number | 5833-7 |
State | RI |
Name | Role | Address |
---|---|---|
SANDRA MATRONE MACK | Agent | 10 WEYBOSSET STREET SUITE 905, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
MATTHEW TRIMBLE | CEO | 2364 POST RD STE 100 WARWICK, RI 02886 USA |
Name | Role | Address |
---|---|---|
STEVEN W. TILLEY | CHAIR | 602 EAST SHORE RD JAMESTOWN, RI 02835 USA |
Name | Role | Address |
---|---|---|
CLAIRE C. FLAHERTY | VICE CHAIR | 936 BUTTONWOODS AVENUE WARWICK, RI 02886 USA |
Name | Role | Address |
---|---|---|
STEVEN H. KITCHIN | TREASURER | ONE NEW ENGLAND TECH BLVD EAST GREENWICH, RI 02818 USA |
Name | Role | Address |
---|---|---|
JUDY W. VIGAR | SECRETARY | 7 LARCH AVENUE NARRAGANSETT, RI 02882 USA |
Name | Role | Address |
---|---|---|
CRAIG W. CARPENTER | DIRECTOR | 29 SOUTH POND DRIVE COVENTRY, RI 02816 USA |
MARK J. PROVOST | DIRECTOR | PO BOX 444 EAST GREENWICH, RI 02818 USA |
KRISTEN L. DISANTO | DIRECTOR | 23 BROAD ST. WESTERLY, RI 02891 USA |
ROBIN DZIUBA | DIRECTOR | ONE CITIZENS PLAZA, SUITE 1000 PROVIDENCE, RI 02903 USA |
E. PAUL LARRAT, PH.D. R.PH. | DIRECTOR | 853 GILBERT STUART RD. SAUNDERSTOWN, RI 02874 USA |
TIMOTHY MURRAY | DIRECTOR | 221 BROADWAY PROVIDENCE, RI 02903 USA |
FREDERICK G. HARRISON | DIRECTOR | 19 CHANNEL VW., UNIT 2 WARWICK, RI 02889 USA |
KIMBERLEY RANALLI | DIRECTOR | 100 SOCKANOSSET CROSSROAD, RDC170 CRANSTON, RI 02920 USA |
PETER HOLLMAN, MD | DIRECTOR | 74 FORT AVE. CRANSTON, RI 02905 USA |
SCOTT SEABACK | DIRECTOR | 56 MAPLE STREET WARWICK, RI 02886 USA |
Number | Name | File Date |
---|---|---|
202447558920 | Annual Report - Amended | 2024-02-29 |
202447381780 | Annual Report | 2024-02-27 |
202335937280 | Statement of Change of Registered/Resident Agent | 2023-05-22 |
202334911470 | Annual Report | 2023-05-01 |
202215508450 | Annual Report | 2022-04-22 |
202199610390 | Fictitious Business Name Statement | 2021-07-29 |
202198864460 | Annual Report | 2021-06-30 |
202043231830 | Annual Report | 2020-06-24 |
201903311790 | Annual Report | 2019-07-11 |
201872632210 | Annual Report | 2018-07-20 |
Date of last update: 23 Oct 2024
Sources: Rhode Island Department of State