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CharterCARE Our Lady of Fatima Hospital

Company Details

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
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)
Principal Address: Google Maps Logo 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904, USA

Contact Details

Phone +1 401-456-3898

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

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. JONATHAN BROWER DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA
DR. JOSEPH SAMARTANO DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA
JEFF DODGE DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA
FATHER MAHER DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA
ANGELO ROTELLA DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA
DR. HASHIM AYYAD DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 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

National Provider Identifier

NPI Number:
1467281329
Certification Date:
2024-07-30

Authorized Person:

Name:
JEFFREY LIEBMAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
273R00000X - Psychiatric Hospital Unit
Is Primary:
Yes

Contacts:

Fax:
4014563028

Licenses

License No License Type Status Date Issued Expiration Date
FSV37329 Food Service (Non-Profit) Active 2025-03-26 2026-04-30

Filings

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
202571810600 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 2025-05-19 Re-Inspection
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2025-05-08 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2025-03-25 Opening

Date of last update: 15 May 2025

Sources: Rhode Island Department of State