| Name: | KRE Husky Providence Licensee LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 May 2019 (6 years ago) |
| Identification Number: | 001696131 |
| ZIP code: | 02908 |
| County: | Providence County |
| Place of Formation: | DELAWARE |
| Principal Address: | 700 SMITH STREET, PROVIDENCE, RI, 02908, USA |
| Mailing Address: | BENCHMARK SENIOR LIVING LLC 201 JONES ROAD 3RD FLOOR WEST, WALTHAM, MA, 02451, USA |
| Purpose: | TO SERVE AS THE LICENSEE OF AN ASSISTED LIVING COMMUNITY |
| Fictitious names: |
Capitol Ridge at Providence (trading name, 2019-09-26 - ) |
NAICS
623312 Assisted Living Facilities for the ElderlyThis U.S. industry comprises establishments primarily engaged in providing residential and personal care services (i.e., without on-site nursing care facilities) for (1) the elderly or other persons who are unable to fully care for themselves and/or (2) the elderly or other persons who do not desire to live independently. The care typically includes room, board, supervision, and assistance in daily living, such as housekeeping services. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912567744 | 2019-06-14 | 2019-06-14 | 201 JONES RD FL 3, WALTHAM, MA, 024511600, US | 700 SMITH ST, PROVIDENCE, RI, 029083500, US | |||||||||||||
|
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| Phone | +1 401-648-0124 |
Authorized person
| Name | MR. THOMAS H. GRAPE |
| Role | PRESIDENT |
| Phone | 7814897100 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202449557020 | Annual Report | 2024-03-27 |
| 202331491010 | Annual Report | 2023-03-23 |
| 202220356080 | Annual Report | 2022-06-27 |
| 202219369930 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202101745790 | Annual Report | 2021-09-20 |
| 202066532730 | Annual Report | 2020-10-20 |
| 201921452750 | Fictitious Business Name Statement | 2019-09-26 |
| 201993324630 | Application for Registration | 2019-05-16 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
