| Name: | 80 DOUGLAS PIKE, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 31 Jan 2012 (13 years ago) |
| Identification Number: | 000786353 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 359 BROAD ST, PROVIDENCE, RI, 02907, USA |
| Purpose: | OWN AND OPERATE A SKILLED NURSING FACILITY |
| NAICS: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Fictitious names: |
Heritage Hills (trading name, 2012-06-11 - ) Heritage Hills Nursing & Rehabilitation Center (trading name, 2012-06-11 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750640850 | 2012-05-09 | 2024-11-08 | 588 PAWTUCKET AVE, PAWTUCKET, RI, 028606057, US | 80 DOUGLAS PIKE, SMITHFIELD, RI, 029172339, US | |||||||||||||||||||
|
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| Phone | +1 401-751-3800 |
| Fax | 4017516350 |
| Phone | +1 401-231-2700 |
| Fax | 4012312703 |
Authorized person
| Name | KELLY ARNOLD |
| Role | COO |
| Phone | 4017513800 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 254900XLFHXXB19VMT40 | 000786353 | US-RI | GENERAL | ACTIVE | 2012-01-31 | |||||||||||||||||||
|
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| Legal | c/o Terry A. Carragher, 359 Broad Street, Providence, US-RI, US, 02907 |
| Headquarters | 359 Broad Street, Providence, US-RI, US, 02907 |
Registration details
| Registration Date | 2019-08-15 |
| Last Update | 2024-08-16 |
| Status | LAPSED |
| Next Renewal | 2024-08-15 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000786353 |
| Name | Role | Address |
|---|---|---|
| MICHAEL BIGNEY | Agent | 588 PAWTUCKET AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| SALLY J. RYAN | MANAGER | 359 BROAD STREET PROVIDENCE, RI 02907 USA |
| DAVID M. RYAN | MANAGER | 359 BROAD STREET PROVIDENCE, RI 02907 USA |
| KEVIN S. RYAN | MANAGER | 359 BROAD STREET PROVIDENCE, RI 02907 USA |
| TERRY A. CARRAGHER | MANAGER | 359 BROAD STREET PROVIDENCE, RI 02907 USA |
| Number | Name | File Date |
|---|---|---|
| 202460398130 | Statement of Change of Registered/Resident Agent | 2024-09-30 |
| 202451343060 | Annual Report | 2024-04-17 |
| 202336420790 | Annual Report | 2023-05-31 |
| 202208289250 | Annual Report | 2022-01-20 |
| 202100880050 | Annual Report | 2021-09-03 |
| 202057926720 | Annual Report | 2020-09-25 |
| 201915790220 | Annual Report | 2019-08-27 |
| 201880374290 | Annual Report | 2018-10-29 |
| 201752063660 | Annual Report | 2017-10-23 |
| 201611486670 | Annual Report | 2016-10-31 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
