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AdviniaCare Providence Dodge Rehab Center, LLC

Company Details

Name: AdviniaCare Providence Dodge Rehab Center, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 Sep 2022 (3 years ago)
Identification Number: 001745597
ZIP code: 02907
County: Providence County
Purpose: THE BUSINESS OF THE COMPANY SHALL BE TO ENGAGE IN ANY LAWFUL BUSINESSES AND ACTIVITIES FOR WHICH LIMITED LIABILITY COMPANIES MAY BE ORGANIZED UNDER THE ACT AND SPECIFICALLY TO OWN AND OPERATE LONG TERM CARE FACILITIES.
Principal Address: Google Maps Logo 135 DODGE STREET, PROVIDENCE, RI, 02907, USA
Mailing Address: Google Maps Logo 4655 W. CHASE AVE. SUITE 502, LINCOLNWOOD, NJ, 60712, USA

Contact Details

Phone +1 401-529-4600

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

Manager

Name Role Address
POINTE GROUP CARE LLC Manager 10 CABOT PLACE STOUGHTON, MA 02702 USA

Agent

Name Role Address
NUCO FILINGS CORP. Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

National Provider Identifier

NPI Number:
1851123301
Certification Date:
2024-08-14

Authorized Person:

Name:
JENNIFER SPECTOR
Role:
VP OF REVENUE CYCLE MANAGEMENT
Phone:

Taxonomy:

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

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
FSV37444 Seats - 50 or More Active 2025-05-07 2026-04-30
LTC00841 Nursing Facility Active 2025-02-03 2025-12-31

Filings

Number Name File Date
202458752810 Annual Report 2024-08-13
202456142910 Revocation Notice For Failure to File An Annual Report 2024-06-18
202340494730 Statement of Change of Registered/Resident Agent 2023-08-22
202340494370 Annual Report 2023-08-22
202336977780 Revocation Notice For Failure to File An Annual Report 2023-06-16

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2025-05-06 Opening

Date of last update: 15 May 2025

Sources: Rhode Island Department of State