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981 KINGS TOWN ROAD OPERATING COMPANY, LLC

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Company Details

Name: 981 KINGS TOWN ROAD OPERATING COMPANY, LLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 03 Sep 2010 (15 years ago)
Identification Number: 000550776
ZIP code: 02879
County: Washington County
Place of Formation: DELAWARE
Purpose: SKILLED NURSING
Fictitious names: Elderwood of Scallop Shell at Wakefield (trading name, 2016-01-08 - )
Scallop Shell Nursing and Rehabilitation Center (trading name, 2011-01-25 - )
Principal Address: Google Maps Logo 55 SCALLOP SHELL WAY, PEACE DALE, RI, 02879, USA
Mailing Address: Google Maps Logo 641 LEXINGTON AVENUE FLOOR 18, NEW YORK, NY, 10022, USA

Contact Details

Phone +1 401-789-3006

Industry & Business Activity

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

MANAGER

Name Role Address
WARREN COLE MANAGER 641 LEXINGTON AVENUE, FLOOR 18 NEW YORK, NY 10022 USA
JEFFREY RUBIN MANAGER 641 LEXINGTON AVENUE, FLOOR 18 NEW YORK, NY 10022 USA

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

National Provider Identifier

NPI Number:
1679874135
Certification Date:
2023-01-19

Authorized Person:

Name:
DR. JEFFREY RUBIN
Role:
CO-CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
NATP00123 Nursing Assistant Training Prog-Full Active 2018-01-17 2026-01-17
FSV28089 Seats - 50 or More Active 2011-04-07 2026-04-30
LTC00352 Nursing Facility Active 1909-10-18 2025-12-31

Filings

Number Name File Date
202449978780 Annual Report 2024-04-02
202332309350 Annual Report 2023-04-04
202209848960 Annual Report 2022-02-09
202102464960 Annual Report 2021-10-01
202053830490 Annual Report 2020-09-11

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-10-22 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2023-08-29 Routine

USAspending Awards / Financial Assistance

Date:
2020-06-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1101800.00
Total Face Value Of Loan:
1101800.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2025-01-31
Type:
Complaint
Address:
55 SCALLOP SHELL WAY, SOUTH KINGSTOWN, RI, 02879
Safety Health:
Safety
Scope:
Partial

Inspection Summary

Date:
2014-02-06
Type:
Planned
Address:
981 KINGSTOWN ROAD, PEACE DALE, RI, 02879
Safety Health:
Health
Scope:
Complete

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1101800
Current Approval Amount:
1101800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1129528.63

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Date of last update: 30 May 2025

Sources: Rhode Island Department of State