| 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 |
| Principal Address: | 57 WELLS AVENUE, NEWTON, MA, 02459, USA |
| 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 - ) |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447615034 | 2015-12-23 | 2015-12-28 | 63 KENDRICK ST, NEEDHAM, MA, 024942708, US | 353 BLACKSTONE BLVD, PROVIDENCE, RI, 029064936, US | |||||||||||||
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| Phone | +1 401-273-6565 |
Authorized person
| Name | TAMILYN LEVIN |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 7817079510 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| 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 |
| 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 |
| 202055682330 | Annual Report | 2020-09-17 |
| 201910782770 | Annual Report | 2019-08-07 |
| 201755134970 | Annual Report | 2018-01-31 |
| 201751156020 | Annual Report | 2017-10-07 |
| 201745110670 | Fictitious Business Name Statement | 2017-06-09 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 343702189 | 0112300 | 2018-12-14 | 353 BLACKSTONE BOULEVARD, PROVIDENCE, RI, 02906 | |||||||||||||
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| Docket Number | Nature of Suit | Filing Date | Disposition | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2100065 | Civil Rights Employment | 2021-02-05 | default | |||||||||||||||||||||||||||||||||||||||||||||||
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| Name | JOSEPH |
| Role | Plaintiff |
| Name | SRC PROVIDENCE, LLC |
| Role | Defendant |
| Circuit | First Circuit |
| Origin | reinstated/reopened (previously opened and closed, reopened for additional action) |
| Jurisdiction | federal question |
| Jury Demand | Plaintiff demands jury |
| Demanded Amount | 0 |
| Termination Class Action | Missing |
| Procedural Progress | other |
| Nature Of Judgment | no monetary award |
| Judgement | missing |
| Arbitration On Termination | Missing |
| Office | 1 |
| Filing Date | 2021-09-17 |
| Termination Date | 2022-11-21 |
| Date Issue Joined | 2021-10-07 |
| Section | 1331 |
| Sub Section | CV |
| Status | Terminated |
Parties
| Name | JOSEPH |
| Role | Plaintiff |
| Name | SRC PROVIDENCE, LLC |
| Role | Defendant |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
