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Tavares Pediatric Center

Company Details

Name: Tavares Pediatric Center
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 03 Jan 2020 (5 years ago)
Identification Number: 001703149
ZIP code: 02903
County: Providence County
Purpose: TO OPERATE A NURSING FACILITY SERVING CHILDREN AND YOUNG ADULTS WITH SEVERE MEDICAL AND/OR DEVELOPMENTAL DISABILITIES
Historical names: TPC, Inc.
Principal Address: Google Maps Logo 101 PLAIN STREET, PROVIDENCE, RI, 02903, USA

Contact Details

Phone +1 401-272-7127

Agent

Name Role Address
MICHAEL G. TAUBER, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
VIVIAN M. TAVARES PRESIDENT 101 PLAIN STREET PROVIDENCE, RI 02903 USA

DIRECTOR

Name Role Address
JAMES NADEAU DIRECTOR 101 PLAIN STREET PROVIDENCE, RI 02908 USA
VIVIAN M. TAVARES DIRECTOR 101 PLAIN STREET PROVIDENCE, RI 02903-4829 USA
RICHARD GRECO, M.D. DIRECTOR 262 WILSON AVENUE RUMFORD, RI 02916 USA
MARION EDWARD, R.N. DIRECTOR 565 HARTFORD PIKE NORTH SCITUATE, RI 02857 USA

National Provider Identifier

NPI Number:
1598368235
Certification Date:
2020-11-17

Authorized Person:

Name:
VIVIAN M TAVARES
Role:
FIN ADM
Phone:

Taxonomy:

Selected Taxonomy:
315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary:
Yes

Contacts:

Fax:
4012724752

Events

Type Date Old Value New Value
Name Change 2020-11-05 TPC, Inc. Tavares Pediatric Center

Licenses

License No License Type Status Date Issued Expiration Date
FSV35182 Food Service (Non-Profit) Active 2022-03-23 2026-04-30
LTC00814 Nursing Facility Active 2021-02-01 2025-12-31

Filings

Number Name File Date
202447528860 Annual Report 2024-02-29
202333513710 Annual Report - Amended 2023-04-21
202330912930 Annual Report 2023-03-15
202215171780 Annual Report 2022-04-19
202100489640 Statement of Change of Registered/Resident Agent 2021-08-30

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-11-14 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2022-07-27 Routine

Tax Exempt

Employer Identification Number (EIN) :
84-4146433
In Care Of Name:
% VIVIAN M TAVARES
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2021-04
National Taxonomy Of Exempt Entities:
Health Care: Nursing, Convalescent Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Date of last update: 13 May 2025

Sources: Rhode Island Department of State