| 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 |
| NAICS: | 623312 - Assisted Living Facilities for the Elderly |
| Fictitious names: |
Capitol Ridge at Providence (trading name, 2019-09-26 - ) |
| 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 | |||||||||||||
|
|||||||||||||||||
| 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
