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  5. ELMWOOD HOME CARE, INC.

ELMWOOD HOME CARE, INC.

Company Details

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 Services

National Provider Identifier

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

Contacts
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

form 5500

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
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6174423462
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
ELMWOOD HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 810964576 2020-07-17 ELMWOOD HOME CARE, INC 85
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
ELMWOOD HOME CARE INC 401 K PROFIT SHARING PLAN TRUST 2018 810964576 2019-07-30 ELMWOOD HOME CARE INC 12
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
ELMWOOD HOME CARE INC 401 K PROFIT SHARING PLAN TRUST 2017 810964576 2018-07-24 ELMWOOD HOME CARE INC 0
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

Agent

Name Role Address
IGOR YATSKAR Agent 120 DUDLEY STREET SUITE 201, PROVIDENCE, RI, 02905, USA

PRESIDENT

Name Role Address
IGOR YATSKAR PRESIDENT 66 CUTLER RD NEEDHAM, MA 02492 USA

TREASURER

Name Role Address
IGOR YATSKAR TREASURER 66 CUTLER RD NEEDHAM, MA 02492 USA

SECRETARY

Name Role Address
IGOR YATSKAR SECRETARY 66 CUTLER RD NEEDHAM, MA 02492 USA

DIRECTOR

Name Role Address
IGOR YATSKAR DIRECTOR 66 CUTLER RD NEEDHAM, MA 02492 USA

Filings

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

Related by officers

IGOR YATSKAR

Tanglewood Road, LLC Elmwood Orthopedic Rehabilitation Center, Inc. ELMWOOD ADULT DAY HEALTH CARE CENTER, INC. ELMWOOD MEDICAL TRANSPORTATION SERVICES, INC. UNIMED BILLING, INC.

Related by address

No related companies by address

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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