| Name: | SENIOR LIFESTYLE EAST BAY LIMITED PARTNERSHIP |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Partnership |
| Status: | Cancelled |
| Date of Organization in Rhode Island: | 05 Feb 1999 (26 years ago) |
| Date of Dissolution: | 01 Mar 2021 (4 years ago) |
| Date of Status Change: | 01 Mar 2021 (4 years ago) |
| Identification Number: | 000104800 |
| Place of Formation: | DELAWARE |
| Principal Address: | 111 EAST WACKER DRIVE SUITE 2400, CHICAGO, RI, 60601, USA |
| Mailing Address: | 111 WESTWOOD PLACE SUITE 400, BRENTWOOD, TN, 37027, USA |
| Fictitious names: |
East Bay Retirement Living (trading name, 2010-04-15 - ) East Bay Manor (trading name, 2005-02-18 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114059318 | 2007-03-12 | 2020-08-22 | 1440 WAMPANOAG TRL, RIVERSIDE, RI, 029151045, US | 1440 WAMPANOAG TRL, RIVERSIDE, RI, 029151045, US | |||||||||||||||||||||||||
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| Phone | +1 401-433-5000 |
| Fax | 4014334541 |
Authorized person
| Name | CHRISTOPHER MCGEE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4014335000 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 1355 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | EB40438 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202193358720 | Certificate of Cancellation | 2021-03-01 |
| 201612222240 | Statement of Change of Registered/Resident Agent | 2016-11-18 |
| 201324197870 | Statement of Change of Registered/Resident Agent Office | 2013-06-17 |
| 201314354690 | Statement of Change of Registered/Resident Agent Office | 2013-03-25 |
| 201179141190 | Statement of Change of Registered/Resident Agent Office | 2011-05-19 |
| 201062111680 | Fictitious Business Name Statement | 2010-04-15 |
| 200943083300 | Statement of Change of Registered/Resident Agent Office | 2009-02-26 |
| 201579239640 | Fictitious Business Name Statement | 2005-02-18 |
| 201579239550 | Statement of Change of Registered/Resident Agent Office | 1999-10-13 |
| 201579239820 | Application for Certificate of Registration | 1999-02-05 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
