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KRE Husky Providence Licensee LLC

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Company Details

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
Purpose: TO SERVE AS THE LICENSEE OF AN ASSISTED LIVING COMMUNITY
Fictitious names: Capitol Ridge at Providence (trading name, 2019-09-26 - )
Principal Address: Google Maps Logo 700 SMITH STREET, PROVIDENCE, RI, 02908, USA
Mailing Address: Google Maps Logo BENCHMARK SENIOR LIVING LLC 201 JONES ROAD 3RD FLOOR WEST, WALTHAM, MA, 02451, USA

Contact Details

Phone +1 203-431-2255
+1 401-521-0090

Industry & Business Activity

NAICS

623312 Assisted Living Facilities for the Elderly

This 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

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

National Provider Identifier

NPI Number:
1912567744

Authorized Person:

Name:
MR. THOMAS H. GRAPE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
ALR01506 Special Care Unit Active 2019-09-01 2025-12-31
ALR01506 Assisted Living Residence Active 2019-09-01 2025-12-31
FSV33758 Seats - 50 or More Active 2019-07-23 2026-04-30
FSV33757 Seats - Less than 50 Active 2019-07-23 2026-04-30

Filings

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

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-08-19 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2023-08-28 Routine

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Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State