SRC PROVIDENCE, LLC
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| Name: | SRC PROVIDENCE, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Jan 2016 (9 years ago) |
| Identification Number: | 001659409 |
| Place of Formation: | MASSACHUSETTS |
| Purpose: | TO OWN AND/OR OPERATE HEALTHCARE FACILITIES AND TO PROVIDE HEALTHCARE SERVICES AND ANY AND ALL RELATED AND ANCILLARY SERVICES AND TO CARRY ON ANY RELATED LAWFUL BUSINESS, TRADE, PURPOSE OR ACTIVITY AS REQUIRED BY LAW. |
| Fictitious names: |
Wingate Residences on Blackstone Boulevard (trading name, 2017-06-09 - ) |
| Principal Address: |
57 WELLS AVENUE, NEWTON, MA, 02459, USA
|
| Phone |
+1 401-273-6565 |
NAICS
623210 Residential Intellectual and Developmental Disability FacilitiesThis industry comprises establishments (e.g., group homes, hospitals, intermediate care facilities) primarily engaged in providing residential care services for persons diagnosed with intellectual and developmental disabilities. These facilities may provide some health care, though the focus is room, board, protective supervision, and counseling. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| SCOTT SCHUSTER | Manager | 63 KENDRICK STREET NEEDHAM, MA 02494 USA |
| License No | License Type | Status | Date Issued | Expiration Date |
|---|---|---|---|---|
| ALR01510 | Special Care Unit | Active | 2020-02-06 | 2025-12-31 |
| ALR01510 | Assisted Living Residence | Active | 2020-02-06 | 2025-12-31 |
| Number | Name | File Date |
|---|---|---|
| 202447437180 | Annual Report | 2024-02-28 |
| 202329734040 | Annual Report | 2023-03-01 |
| 202221743230 | Annual Report | 2022-07-28 |
| 202218757350 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202101215770 | Annual Report | 2021-09-10 |
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Date of last update: 20 Jun 2025
Sources: Rhode Island Department of State