| Name: | Cortland Place Rehab Center LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Aug 2019 (5 years ago) |
| Identification Number: | 001698886 |
| ZIP code: | 02828 |
| County: | Providence County |
| Place of Formation: | DELAWARE |
| Principal Address: | 20 AUSTIN AVE, GREENVILLE, RI, 02828, USA |
| Mailing Address: | 1904 AVE M, BROOKLYN, NY, 11230, USA |
| Purpose: | OPERATION OF A SKILLED NURSING/ASSISTED LIVING FACILITY |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Stillwater Assisted Living and Skilled Nursing Community (trading name, 2019-08-19 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730727256 | 2019-12-16 | 2019-12-16 | 20 AUSTIN AVE, GREENVILLE, RI, 028281449, US | 20 AUSTIN AVE, GREENVILLE, RI, 028281449, US | |||||||||||||||||
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| Phone | +1 401-949-3880 |
Authorized person
| Name | MR. LOUIS GELLIS |
| Role | PRESIDENT |
| Phone | 7189754714 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CORTLAND PLACE REHAB CENTER LLC EMPLOYEES SAVINGS TRUST | 2022 | 834051642 | 2023-10-09 | CORTLAND PLACE REHAB CENTER LLC | 80 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-09 |
| Name of individual signing | JOSEPH POLLACK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-09 |
| Name of individual signing | JOSEPH POLLACK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 4019493880 |
| Plan sponsor’s address | 20 AUSTIN AVE., GREENVILLE, RI, 02828 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-14 |
| Name of individual signing | JOSEPH POLLACK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-12-14 |
| Name of individual signing | JOSEPH POLLACK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 4019493880 |
| Plan sponsor’s address | 20 AUSTIN AVE., GREENVILLE, RI, 02828 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-12 |
| Name of individual signing | JOSEPH POLLACK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202451505350 | Annual Report | 2024-04-18 |
| 202334144490 | Annual Report | 2023-04-26 |
| 202217883230 | Annual Report | 2022-05-26 |
| 202107150480 | Annual Report | 2021-12-15 |
| 202106526510 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202064210630 | Annual Report | 2020-10-13 |
| 201913736770 | Fictitious Business Name Statement | 2019-08-19 |
| 201911325390 | Application for Registration | 2019-08-09 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
