| Name: | Children's Shelter of Blackstone Valley, Incorporated |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 03 Dec 1979 (45 years ago) |
| Date of Dissolution: | 03 Apr 2019 (6 years ago) |
| Date of Status Change: | 03 Apr 2019 (6 years ago) |
| Identification Number: | 000031614 |
| ZIP code: | 02861 |
| County: | Providence County |
| Principal Address: | 15 GATES STREET, PAWTUCKET, RI, 02861, USA |
| Purpose: | TEMPORARY SHELTER OF ABUSED AND NEGLECTED BOYS AND GIRLS BETWEEN THE AGES OF BIRTH AND 12 YRS. |
| NAICS: | 624221 - Temporary Shelters |
| Historical names: |
BLACKSTONE VALLEY EMERGENCY SHELTER FOR ABUSED CHILDREN, INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124152392 | 2007-03-16 | 2007-09-28 | 15 GATES STREET, PAWTUCKET, RI, 02861, US | 15 GATES ST, PAWTUCKET, RI, 028613225, US | |||||||||||||||||||
|
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| Phone | +1 401-722-4626 |
| Fax | 4017272967 |
Authorized person
| Name | MRS. EILEEN F HERNANDEZ |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4017224626 |
Taxonomy
| Taxonomy Code | 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | 40 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DANIEL ANDREWS | Agent | 15 GATES STREET, PAWTUCKET, RI, 02861, USA |
| Name | Role | Address |
|---|---|---|
| KATHLEEN ANTONELLI | TREASURER | 34 MANOR ROAD CRANSTON, RI 02920 USA |
| Name | Role | Address |
|---|---|---|
| JOANNE ANDREOLI | DIRECTOR | 65 EVERGREEN DRIVE SEEKONK, MA 02771 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1993-01-21 | BLACKSTONE VALLEY EMERGENCY SHELTER FOR ABUSED CHILDREN, INC. | Children's Shelter of Blackstone Valley, Incorporated |
| Number | Name | File Date |
|---|---|---|
| 201989735460 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-04-03 |
| 201985513170 | Revocation Notice For Failure to File An Annual Report | 2019-01-30 |
| 201865107970 | Statement of Change of Registered/Resident Agent | 2018-05-14 |
| 201863492050 | Annual Report | 2018-05-03 |
| 201863490290 | Reinstatement | 2018-05-03 |
| 201862345140 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-04-18 |
| 201857370780 | Revocation Notice For Failure to File An Annual Report | 2018-02-02 |
| 201729443680 | Annual Report | 2017-01-03 |
| 201627591960 | Revocation Notice For Failure to File An Annual Report | 2016-11-22 |
| 201564982670 | Annual Report | 2015-07-13 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
