| Name: | 100 WAMPANOAG TRAIL OPERATING COMPANY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 May 2013 (12 years ago) |
| Identification Number: | 000798706 |
| ZIP code: | 02915 |
| County: | Providence County |
| Place of Formation: | DELAWARE |
| Principal Address: | 100 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA |
| Mailing Address: | 641 LEXINGTON AVENUE FLOOR 18, NEW YORK, NY, 10022, USA |
| Purpose: | SKILLED NURSING AND REHABILITATION CENTER |
| Fictitious names: |
Elderwood at Riverside (trading name, 2016-01-08 - ) Chestnut Terrace Nursing and Rehabilitation Center (trading name, 2013-05-31 - ) |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093057143 | 2013-03-26 | 2023-01-19 | 500 SENECA ST STE 100, BUFFALO, NY, 142041963, US | 100 WAMPANOAG TRL, RIVERSIDE, RI, 029153736, US | |||||||||||||||||||
|
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| Phone | +1 716-633-3900 |
| Fax | 6469240502 |
| Phone | +1 401-438-4275 |
| Fax | 4014388093 |
Authorized person
| Name | DR. JEFFREY RUBIN |
| Role | CO-CHIEF EXECUTIVE OFFICER |
| Phone | 7168175075 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| POST ACUTE PARTNERS LLC | MANAGER | 641 LEXINGTON AVENUE, FLOOR 18 NEW YORK, NY 10022 USA |
| Number | Name | File Date |
|---|---|---|
| 202449979480 | Annual Report | 2024-04-02 |
| 202332310590 | Annual Report | 2023-04-04 |
| 202209852390 | Annual Report | 2022-02-09 |
| 202102465390 | Annual Report | 2021-10-01 |
| 202053837660 | Annual Report | 2020-09-11 |
| 201917227490 | Annual Report | 2019-09-03 |
| 201876775210 | Annual Report | 2018-09-06 |
| 201749251090 | Annual Report | 2017-09-06 |
| 201608269800 | Annual Report | 2016-09-01 |
| 201690253990 | Fictitious Business Name Statement | 2016-01-08 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
