| Name: | PARK AVENUE SENIOR CARE, INC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Jan 2015 (10 years ago) |
| Identification Number: | 001041338 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 1049 PARK AVENUE, CRANSTON, RI, 02910, USA |
| Purpose: | ADULT DAY HEALTH CARE CENTER: A STRUCTURED PROGRAM ASSISTING WITH COGNITIVE, PHYSICAL AND SOCIAL NEEDS FOR SENIORS AND ADULTS NEEDING ASSISTANCE. Title: 7-1.2-1701 |
| Historical names: |
Lighthouse Senior Care, Inc PARK AVENUE SENOIR CARE INC |
NAICS
624120 Services for the Elderly and Persons with DisabilitiesThis industry comprises establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922556166 | 2016-09-16 | 2016-09-16 | 1047 PARK AVE, CRANSTON, RI, 029103238, US | 1047 PARK AVE, CRANSTON, RI, 029103238, US | |||||||||||||||||
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| Phone | +1 401-946-7275 |
| Fax | 4019467276 |
Authorized person
| Name | MRS. KIMBERLY W SANTILLI |
| Role | ADMINISTRATOR |
| Phone | 4019467275 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIMBERLY W. SANTILLI | Agent | 1049 PARK AVENUE, CRANSTON, RI, 02910, USA |
| Name | Role | Address |
|---|---|---|
| IRENE QI | PRESIDENT | 1049 PARK AVENUE CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| LUNING SUN | VICE PRESIDENT | 1049 PARK AVE CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| KIMBERLY WYNN SANTILLI | ADMINISTRATOR | 1049 PARK AVENUE CRANSTON, RI 02910 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2015-04-28 | PARK AVENUE SENOIR CARE INC | PARK AVENUE SENIOR CARE, INC |
| Name Change | 2015-03-19 | Lighthouse Senior Care, Inc | PARK AVENUE SENOIR CARE INC |
| Number | Name | File Date |
|---|---|---|
| 202446174950 | Annual Report | 2024-02-12 |
| 202331581360 | Annual Report | 2023-03-24 |
| 202331428430 | Statement of Change of Registered/Resident Agent | 2023-03-23 |
| 202208502160 | Annual Report | 2022-01-24 |
| 202184667770 | Annual Report | 2021-01-06 |
| 202030933280 | Annual Report | 2020-01-02 |
| 201984340100 | Annual Report | 2019-01-14 |
| 201984211860 | Statement of Change of Registered/Resident Agent Office | 2019-01-11 |
| 201983633050 | Revocation Notice For Failure to Maintain a Registered Office | 2019-01-03 |
| 201883421900 | Registered Office Not Maintained | 2018-12-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6707097207 | 2020-04-28 | 0165 | PPP | 1049 Park Ave, Cranston, RI, 02910 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7763168308 | 2021-01-28 | 0165 | PPS | 1049 PARK AVE, CRANSTON, RI, 02910 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 20 Oct 2024
Sources: Rhode Island Department of State
