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Island Health and Rehab LLC

Company Details

Name: Island Health and Rehab LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 31 Jan 2020 (5 years ago)
Date of Dissolution: 22 May 2023 (2 years ago)
Date of Status Change: 22 May 2023 (2 years ago)
Identification Number: 001704338
ZIP code: 02915
County: Providence County
Purpose: NURSING HOME
Principal Address: Google Maps Logo 100 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA

Industry & Business Activity

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

Agent

Name Role Address
ANNIE OCHOA Agent 100 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA

National Provider Identifier

NPI Number:
1154956969
Certification Date:
2021-08-31

Authorized Person:

Name:
MR. FACILITY ADMINISTRATOR
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202335886920 Revocation Certificate For Failure to Maintain a Registered Office 2023-05-22
202330640130 Revocation Notice For Failure to Maintain a Registered Office 2023-03-13
202329027980 Registered Office Not Maintained 2023-01-27
202212536500 Annual Report 2022-03-10
202192803050 Annual Report 2021-02-24

USAspending Awards / Financial Assistance

Date:
2021-03-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
518515.00
Total Face Value Of Loan:
518515.00

Paycheck Protection Program

Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
518515
Current Approval Amount:
518515
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
521484.03

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State