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Mission Home Health, LLC

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Company Details

Name: Mission Home Health, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 May 2024 (a year ago)
Date of Dissolution: 16 Jun 2025 (2 months ago)
Date of Status Change: 16 Jun 2025 (2 months ago)
Identification Number: 001773211
ZIP code: 02888
City: Warwick
County: Kent County
Purpose: HOME HEALTH CARE SERVICES
Historical names: Elite Services, LLC
Principal Address: Google Maps Logo 158 WARMAN AVE, CRANSTON, RI, 02920, USA
Principal Address: Google Maps Logo 422 POST ROAD SUITE 202, WARWICK, RI, 02888, USA

Contact Details

Phone +1 401-440-5199

Industry & Business Activity

NAICS

621610 Home Health Care Services

This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Learn more at the U.S. Census Bureau

Agent

Name Role Address
BRYAN BORRAYO Agent 158 WARMAN AVE, CRANSTON, RI, 02920, USA

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
BRYAN BORRAYO
Ownership and Self-Certifications:
Hispanic American, Other Minority Owned, Service-Disabled Veteran, Veteran
User ID:
P3272209

Unique Entity ID

Unique Entity ID:
DXW5C3Z72JH3
CAGE Code:
9WCW4
UEI Expiration Date:
2025-05-03

Business Information

Activation Date:
2024-05-10
Initial Registration Date:
2024-05-03

Commercial and government entity program

CAGE number:
9WCW4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-09
CAGE Expiration:
2029-05-10

Contact Information

POC:
BRYAN BORRAYO

National Provider Identifier

NPI Number:
1972498590
Certification Date:
2025-07-08

Authorized Person:

Name:
BRYAN BORRAYO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
163WH0200X - Home Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
374U00000X - Home Health Aide
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
376J00000X - Homemaker
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Events

Type Date Old Value New Value
Name Change 2024-09-10 Elite Services, LLC Mission Home Health, LLC

Licenses

License No License Type Status Date Issued Expiration Date
HNC02436 Home Nursing Care Provider Active 2025-07-10 2025-12-31
HNC02434 Home Nursing Care Provider Active 2025-06-03 2025-12-31

Filings

Number Name File Date
202459287410 Articles of Amendment 2024-09-10
202453504360 Articles of Organization 2024-05-01
202575001860 Revocation Notice For Failure to File An Annual Report 2025-06-16
202576709170 Articles of Amendment 2025-07-08
202576611400 Annual Report 2025-07-06

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Date of last update: 18 Jul 2025

Sources: Rhode Island Department of State