| 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 (6 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 |
| Fictitious names: |
Stillwater Assisted Living and Skilled Nursing Community (trading name, 2019-08-19 - ) |
NAICS
623110 Nursing Care Facilities (Skilled Nursing Facilities)This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8626349003 | 2021-05-28 | 0165 | PPS | 20 Austin Ave, Greenville, RI, 02828-1449 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2214227801 | 2020-05-22 | 0165 | PPP | 20 Austin Ave, Smithfield, RI, 02828 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
