| Name: | 198 WATERMAN AVENUE, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 Feb 2011 (14 years ago) |
| Identification Number: | 000582753 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 198 WATERMAN AVE, EAST PROVIDENCE, RI, 02914, USA |
| Mailing Address: | 359 BROAD ST, PROVIDENCE, RI, 02907, USA |
| Purpose: | OWN AND OPERATE A NURSING HOME |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Eastgate Nursing & Rehabilitation Center (trading name, 2014-07-01 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457610552 | 2012-05-09 | 2024-11-08 | 198 WATERMAN AVE, EAST PROVIDENCE, RI, 029143523, US | 198 WATERMAN AVE, EAST PROVIDENCE, RI, 029143523, US | |||||||||||||
|
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| Phone | +1 401-751-3800 |
Authorized person
| Name | KELLY ARNOLD |
| Role | COO |
| Phone | 4017513800 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL BIGNEY | Agent | 588 PAWTUCKET AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| KEVIN S RYAN | MANAGER | 359 BROAD ST PROVIDENCE, RI 02907 USA |
| TERRY A CARRAGHER | MANAGER | 359 BROAD ST PROVIDENCE, RI 02907 USA |
| DAVID M RYAN | MANAGER | 359 BROAD STREET PROVIDENCE, RI 02907 USA |
| SALLY J RYAN | MANAGER | 359 BROAD ST PROVIDENCE, RI 02907 USA |
| Number | Name | File Date |
|---|---|---|
| 202460354280 | Statement of Change of Registered/Resident Agent | 2024-09-27 |
| 202451350220 | Annual Report | 2024-04-17 |
| 202336414870 | Annual Report | 2023-05-31 |
| 202208293860 | Annual Report | 2022-01-20 |
| 202100873610 | Annual Report | 2021-09-03 |
| 202057915030 | Annual Report | 2020-09-25 |
| 201915910600 | Annual Report | 2019-08-28 |
| 201880378630 | Annual Report | 2018-10-29 |
| 201752064540 | Annual Report | 2017-10-23 |
| 201611478260 | Annual Report | 2016-10-31 |
Date of last update: 15 Oct 2024
Sources: Rhode Island Department of State
