| 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. |
| Historical names: |
BLACKSTONE VALLEY EMERGENCY SHELTER FOR ABUSED CHILDREN, INC. |
NAICS
624221 Temporary SheltersThis U.S. industry comprises establishments primarily engaged in providing (1) short-term emergency shelter for victims of domestic violence, sexual assault, or child abuse and/or (2) temporary residential shelter for homeless individuals or families, runaway youth, and patients and families caught in medical crises. These establishments may operate their own shelters or may subsidize housing using existing homes, apartments, hotels, or motels. Learn more at the U.S. Census Bureau
| 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 Apr 2025
Sources: Rhode Island Department of State
