| Name: | WEST BAY RESIDENTIAL SERVICES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Jul 1981 (44 years ago) |
| Identification Number: | 000029720 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 158 KNIGHT STREET, WARWICK, RI, 02886, USA |
| Purpose: | COMMUNITY SUPPORTS FOR DEVELOPMENTALLY DISABLED |
| NAICS: | 623210 - Residential Intellectual and Developmental Disability Facilities |
| Fictitious names: |
West Bay RI (trading name, 2019-02-04 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336435031 | 2011-06-22 | 2011-06-22 | 158 KNIGHT ST, WARWICK, RI, 028861225, US | 158 KNIGHT ST, WARWICK, RI, 028861225, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-738-9300 |
| Fax | 4017382787 |
Authorized person
| Name | JOHN DIMARCO |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4017389300 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 215 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | WB55241 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CASEY GARTLAND | Agent | 158 KNIGHT STREET, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| RALPH ORLECK | PRESIDENT | 48 WEST BELL AIR ROAD CRANSTON, RI 02920 USA |
| Name | Role | Address |
|---|---|---|
| KENNETH BEATON | DIRECTOR | 23 GOULD PLACE EAST GREENWICH, RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 202450536490 | Annual Report | 2024-04-08 |
| 202332722960 | Annual Report | 2023-04-10 |
| 202212948330 | Annual Report | 2022-03-09 |
| 202198607850 | Annual Report | 2021-06-22 |
| 202198183480 | Statement of Change of Registered/Resident Agent | 2021-06-11 |
| 202042284080 | Annual Report | 2020-06-15 |
| 201995144740 | Annual Report | 2019-05-31 |
| 201985949320 | Fictitious Business Name Statement | 2019-02-04 |
| 201866660320 | Annual Report | 2018-05-18 |
| 201745017050 | Annual Report | 2017-06-07 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
