| 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 |
| Fictitious names: |
Heritage Hills (trading name, 2012-06-11 - ) Heritage Hills Nursing & Rehabilitation Center (trading name, 2012-06-11 - ) |
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
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1413907105 | 2020-04-10 | 0165 | PPP | 80 DOUGLAS PIKE, SMITHFIELD, RI, 02917-2339 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
