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  5. CharterCARE Roger Williams Medical Center

CharterCARE Roger Williams Medical Center

Company Details

Name: CharterCARE Roger Williams Medical Center
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 05 Dec 2022 (3 years ago)
Identification Number: 001749426
ZIP code: 02908
County: Providence County
Purpose: THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, SCIENTIFIC, OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE
Principal Address: Google Maps Logo 825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA

Contact Details

Phone +1 401-456-2572

Industry & Business Activity

NAICS

622110 General Medical and Surgical Hospitals

This industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau

Companies doing General medical and surgical hospitals

Agent

Name Role Address
MCLAUGHLINQUINN LLC Agent 148 WEST RIVER STREET SUITE 1E, PROVIDENCE, RI, 02904, USA

DIRECTOR

Name Role Address
JEFF LIEBMAN DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA
DR. PONNANDAI SOMASUNDER DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA
DR. JOHN STOUKIDES DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA
DR. ALVES DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA
DR. MICHAEL C. MARIORENZI DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA
DR. ALBERT SCAPPATICCI DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA
JIM SALOME DIRECTOR 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA

PRESIDENT

Name Role Address
BENJAMIN M. MINGLE PRESIDENT 3050 PEACHTREE ROAD NW SUITE 580 ATLANTA, GA 30305 USA

TREASURER

Name Role Address
GREGORY GROVE TREASURER 3050 PEACHTREE ROAD NW, SUITE 580 ATLANTA, GA 30305 USA

SECRETARY

Name Role Address
GREGORY GROVE SECRETARY 3050 PEACHTREE ROAD NW, SUITE 580 ATLANTA, GA 30305 USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
V59YCD2658T4
CAGE Code:
1QZ05
UEI Expiration Date:
2025-08-08

Business Information

Doing Business As:
PROSPECT CHARTERCARE RWMC LLC
Division Name:
ROGER WILLIAMS MEDICAL CENTER
Activation Date:
2024-08-12
Initial Registration Date:
2014-07-21

National Provider Identifier

NPI Number:
1801625777
Certification Date:
2024-07-30
Link:
View on NPI website

Authorized Person:

Name:
JEFFREY LIEBMAN
Role:
CEO
Phone:
4014562001

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Phone:
+1 401-456-2000
Fax:
4014562029

Licenses

License No License Type Status Date Issued Expiration Date
FSV37367 Food Service (Non-Profit) Active 2025-04-11 2026-04-30

Filings

Number Name File Date
202459112370 Statement of Change of Registered/Resident Agent 2024-08-29
202451872380 Annual Report 2024-04-22
202332604770 Annual Report 2023-04-10
202225042960 Articles of Incorporation 2022-12-05
202571822360 Annual Report 2025-04-29

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2025-04-10 Opening

USAspending Awards / Financial Assistance

Date:
2018-02-20
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
IN-VITRO MODEL TO RECAPITULATE THE NATURAL HIV-1 LATENCY
Obligated Amount:
110000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2017-07-19
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
A BIOENGINEERING APPROACH TO CREATE IMMUNOREJECTION FREE HUMAN PANCREATIC ISLETS
Obligated Amount:
1215216.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2018-05-04
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
P38 ACETYLATION: NOVEL SIGNALING MECHANISMS AND MYOCARDIAL PROTECTION
Obligated Amount:
1589080.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2018-03-16
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
REVERSING GENETICALLY MODIFIED T CELL SUPPRESSION IN A MODEL OF LIVER METASTASES
Obligated Amount:
838230.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2017-06-20
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HISTONE DEACETYLASE INHIBITION: A NOVEL APPROACH TO CARDIOPROTECTION
Obligated Amount:
3350794.10
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
92-1361532
In Care Of Name:
% BENJAMIN M MINGLE
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
2024-06
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

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JEFF LIEBMAN

CharterCARE Our Lady of Fatima Hospital CharterCARE Health of Rhode Island Foundation, Inc. CharterCARE Health of Rhode Island, Inc.

BENJAMIN M. MINGLE

CharterCARE Our Lady of Fatima Hospital CharterCARE Health of Rhode Island Foundation, Inc. CharterCARE Health of Rhode Island, Inc.

GREGORY GROVE

CharterCARE Our Lady of Fatima Hospital CharterCARE Health of Rhode Island Foundation, Inc. CharterCARE Health of Rhode Island, Inc.

Related by address

825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA

Rosebank Corporation RWGH Physicians Office Building, Inc. Roger Williams Medical Center Elmhurst Extended Care Facilities, Inc. Roger Williams Realty Corporation ELMHURST HEALTH ASSOCIATES, INC. Roger Williams PHO, Inc. Imaging Network of Rhode Island, Inc. Roger Williams Medical Associates, Inc. University Medical Group, Inc.

Date of last update: 15 May 2025

Sources: Rhode Island Department of State

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