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SRC Blackstone OP, LLC

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Company Details

Name: SRC Blackstone OP, LLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 19 Sep 2019 (6 years ago)
Identification Number: 001700121
Place of Formation: MASSACHUSETTS
Purpose: TO OWN AND OPERATE HEALTHCARE FACILITIES AND TO PROVIDE HEALTHCARE SERVICES
Principal Address: Google Maps Logo 57 WELLS AVENUE C/O WINGATE LIVING, NEWTON, MA, 02459, USA
Mailing Address: Google Maps Logo 57 WELLS AVENUE SUITE 20, NEWTON, MA, 02459, USA

Industry & Business Activity

NAICS

623110 Nursing Care Facilities (Skilled Nursing Facilities)

This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

Manager

Name Role Address
SCOTT SCHUSTER Manager 63 KENDRICK STREET NEEDHAM, MA 02494 USA

National Provider Identifier

NPI Number:
1588200166

Authorized Person:

Name:
JONATHAN SCHARF
Role:
GENERAL COUNSEL
Phone:

Taxonomy:

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

Contacts:

Fax:
7812818827
Fax:
4012736568

Filings

Number Name File Date
202447431160 Annual Report 2024-02-28
202330107110 Annual Report 2023-03-07
202221744480 Annual Report 2022-07-28
202218784310 Revocation Notice For Failure to File An Annual Report 2022-06-22
202105473590 Annual Report 2021-11-29

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Date of last update: 21 Jun 2025

Sources: Rhode Island Department of State