| Name: | ELMWOOD HOME CARE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 05 Jan 2016 (9 years ago) |
| Identification Number: | 001659288 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 120 DUDLEY STREET SUITE 201, PROVIDENCE, RI, 02905, USA |
| Purpose: | HOME CARE AGENCY Title: 7-1.2-1701 |
NAICS
621610 Home Health Care ServicesThis 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184073058 | 2016-06-10 | 2023-05-19 | 120 DUDLEY STREET, SUITE 201, PROVIDENCE, RI, 02905, US | 120 DUDLEY STREET, SUITE 201, PROVIDENCE, RI, 02905, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 401-941-1347 |
| Fax | 4019410823 |
Authorized person
| Name | IGOR YATSKAR |
| Role | PRESIDENT |
| Phone | 4019411347 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELMWOOD MEDICAL TRANSPORTATION 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 800880998 | 2020-07-17 | ELMWOOD HOME CARE, INC | 24 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2020-07-17 |
| Name of individual signing | IGOR YATSKAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-02-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4019411347 |
| Plan sponsor’s address | 120 DUDLEY STREET, SUITE 201, PROVIDENCE, RI, 02905 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-17 |
| Name of individual signing | IGOR YATSKAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-02-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4019411347 |
| Plan sponsor’s address | 120 DUDLEY STREET, SUITE 201, PROVIDENCE, RI, 02905 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-30 |
| Name of individual signing | IGOR YATSKAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-02-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 6174223462 |
| Plan sponsor’s address | 193 ELMWOOD AVE, PROVIDENCE, RI, 02907 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-24 |
| Name of individual signing | IGOR YATSKAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | Agent | 120 DUDLEY STREET SUITE 201, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | PRESIDENT | 66 CUTLER RD NEEDHAM, MA 02492 USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | TREASURER | 66 CUTLER RD NEEDHAM, MA 02492 USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | SECRETARY | 66 CUTLER RD NEEDHAM, MA 02492 USA |
| Name | Role | Address |
|---|---|---|
| IGOR YATSKAR | DIRECTOR | 66 CUTLER RD NEEDHAM, MA 02492 USA |
| Number | Name | File Date |
|---|---|---|
| 202444784430 | Annual Report | 2024-01-26 |
| 202326815030 | Annual Report | 2023-01-28 |
| 202208430670 | Annual Report | 2022-01-21 |
| 202185906580 | Annual Report | 2021-01-12 |
| 202034476710 | Annual Report | 2020-02-16 |
| 201908563950 | Statement of Change of Registered/Resident Agent | 2019-07-31 |
| 201908563770 | Annual Report - Amended | 2019-07-31 |
| 201883266880 | Annual Report | 2018-12-27 |
| 201755306070 | Annual Report | 2017-12-22 |
| 201729383850 | Annual Report | 2017-01-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9603427002 | 2020-04-09 | 0165 | PPP | 120 Dudley Street Suite 201, PROVIDENCE, RI, 02905-2403 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
