| Name: | WATCH HILL MANOR, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 06 Dec 1983 (41 years ago) |
| Date of Dissolution: | 12 Sep 2023 (2 years ago) |
| Date of Status Change: | 12 Sep 2023 (2 years ago) |
| Branch of: | WATCH HILL MANOR, LTD., CONNECTICUT (Company Number 0149712) |
| Identification Number: | 000025740 |
| Place of Formation: | CONNECTICUT |
| Principal Address: | 21 WATERVILLE ROAD, AVON, CT, 06001-0000, USA |
| Purpose: | TO OWN AND OPERATE A NURSING CARE FACILITY |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548226053 | 2006-04-24 | 2008-01-23 | 79 WATCH HILL RD, WESTERLY, RI, 02891, US | 79 WATCH HILL RD, WESTERLY, RI, 02891, US | |||||||||||||||||||||||||
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| Phone | +1 401-596-2664 |
| Fax | 4015963666 |
Authorized person
| Name | MR. MARK HAMBLEY |
| Role | CFO |
| Phone | 8606789755 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00643 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 05050 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| VICTOR J. ORSINGER II | Agent | 42 GRANITE STREET, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| BRIAN S. FOLEY | SECRETARY | 21 WATERVILLE RD. AVON, CT 06001 USA |
| Name | Role | Address |
|---|---|---|
| BRIAN S FOLEY | PRESIDENT | 21 WATERVILLE ROAD AVON, CT 06001 USA |
| Number | Name | File Date |
|---|---|---|
| 202341446350 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202337993680 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202215355540 | Annual Report | 2022-04-21 |
| 202192565200 | Annual Report | 2021-02-23 |
| 202037022220 | Annual Report | 2020-03-31 |
| 201983654640 | Annual Report | 2019-01-03 |
| 201877289680 | Annual Report | 2018-09-12 |
| 201875427480 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201748442930 | Annual Report | 2017-08-14 |
| 201747699650 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9295977305 | 2020-05-01 | 0165 | PPP | 79 Watch Hill RD, WESTERLY, RI, 02891 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
