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PARK AVENUE SENIOR CARE, INC

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Company Details

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 (11 years ago)
Identification Number: 001041338
ZIP code: 02806
City: Barrington
County: Bristol County
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
Principal Address: Google Maps Logo 47 WOOD AVE SUITE 2, BARRINGTON, RI, 02806, USA

Contact Details

Phone +1 401-946-7275

Industry & Business Activity

NAICS

624120 Services for the Elderly and Persons with Disabilities

This 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

PRESIDENT

Name Role Address
IRENE QI PRESIDENT 47 WOOD AVE, SUITE 2 BARRINGTON, RI 02806 USA

TREASURER

Name Role Address
IRENE QI TREASURER 47 WOOD AVE, SUITE 2 BARRINGTON, RI 02806 USA

SECRETARY

Name Role Address
LUNING SUN SECRETARY 47 WOOD AVE,SUITE 2 BARRINGTON, RI 02806 USA

DIRECTOR

Name Role Address
LUNING SUN DIRECTOR 47 WOOD AVE, SUITE 2 BARRINGTON, RI 02806 USA

Agent

Name Role Address
NORTHWEST REGISTERED AGENT LLC Agent 700 NARRAGANSETT PARK DR STE 100, PAWTUCKET, RI, 02861, USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
RL2QKY4JJND7
CAGE Code:
8SQA8
UEI Expiration Date:
2025-01-03

Business Information

Activation Date:
2024-01-18
Initial Registration Date:
2020-11-12

National Provider Identifier

NPI Number:
1922556166

Authorized Person:

Name:
MRS. KIMBERLY W SANTILLI
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA0600X - Adult Day Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4019467276

Events

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

Licenses

License No License Type Status Date Issued Expiration Date
ADC00044 Adult Day Care Program Active 2016-09-09 2027-03-31
FSV31608 Seats - 50 or More Active 2016-09-06 2026-04-30

Filings

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

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-12-02 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2023-11-02 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2022-05-17 Routine

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-01-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$45,335
Total Face Value Of Loan:
$45,335
Business Type:
SMALL BUSINESS
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$7,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$45,355
Total Face Value Of Loan:
$45,355

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$45,355
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,355
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$45,746.42
Servicing Lender:
Santander Bank, National Association
Use of Proceeds:
Payroll: $45,355
Jobs Reported:
7
Initial Approval Amount:
$45,335
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,335
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$45,568.51
Servicing Lender:
HarborOne Bank
Use of Proceeds:
Payroll: $45,329
Utilities: $1

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Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State