| Name: | CharterCARE Our Lady of Fatima Hospital |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 05 Dec 2022 (2 years ago) |
| Identification Number: | 001749428 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| 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) |
NAICS
622110 General Medical and Surgical HospitalsThis 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467281329 | 2024-07-30 | 2024-07-30 | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045113, US | 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045113, US | |||||||||||||||
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| Phone | +1 401-456-3000 |
| Fax | 4014563028 |
Authorized person
| Name | JEFFREY LIEBMAN |
| Role | CEO |
| Phone | 4014562001 |
Taxonomy
| Taxonomy Code | 273R00000X - Psychiatric Hospital Unit |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCLAUGHLINQUINN LLC | Agent | 148 WEST RIVER STREET SUITE 1E, PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| GREG GROVE | TREASURER | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| Name | Role | Address |
|---|---|---|
| GREG GROVE | SECRETARY | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| Name | Role | Address |
|---|---|---|
| GREG GROVE | VICE PRESIDENT | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| Name | Role | Address |
|---|---|---|
| BEN MINGLE | CHAIR | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| Name | Role | Address |
|---|---|---|
| GREG GROVE | DIRECTOR | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| JEFF LIEBMAN | DIRECTOR | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| BEN MINGLE | DIRECTOR | 3060 PEACHTREE RD NW, STE. 1030 ATLANTA, GA 30305 USA |
| Number | Name | File Date |
|---|---|---|
| 202459112280 | Statement of Change of Registered/Resident Agent | 2024-08-29 |
| 202451864880 | Annual Report | 2024-04-22 |
| 202332602000 | Annual Report | 2023-04-10 |
| 202225043480 | Articles of Incorporation | 2022-12-05 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
