| Name: | Pawtucket SNF Operator, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 15 Nov 2019 (5 years ago) |
| Identification Number: | 001701963 |
| ZIP code: | 02861 |
| County: | Providence County |
| Principal Address: | 70 GILL AVENUE, PAWTUCKET, RI, 02861, USA |
| Mailing Address: | 338 WHITESVILLE RD BLDG 5 STE 501, JACKSON, NJ, 08527, USA |
| Purpose: | SKILLED NURSING FACILITY |
| Fictitious names: |
Pawtucket Falls Healthcare Center (trading name, 2020-03-16 - 2024-02-23) |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285242610 | 2020-07-22 | 2020-07-22 | 70 GILL AVE, PAWTUCKET, RI, 028614315, US | 70 GILL AVE, PAWTUCKET, RI, 028614315, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 401-722-7900 |
Authorized person
| Name | JEFFREY KAGAN |
| Role | OWNER |
| Phone | 4108776630 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing 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 |
|---|---|---|
| STARLIGHT HEALTH CARE | MANAGER | 15 AMERICA AVE LAKEWOOD, NJ 08701 USA |
| Number | Name | File Date |
|---|---|---|
| 202455144960 | Annual Report | 2024-05-31 |
| 202447105700 | Statement of Abandonment of Use of Fictitious Business Name | 2024-02-23 |
| 202336036180 | Annual Report | 2023-05-24 |
| 202218390520 | Annual Report | 2022-06-08 |
| 202100163540 | Annual Report | 2021-08-16 |
| 202187216920 | Annual Report | 2021-01-19 |
| 202036421420 | Fictitious Business Name Statement | 2020-03-16 |
| 201927543560 | Articles of Organization | 2019-11-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3427928608 | 2021-03-17 | 0165 | PPP | 70 Gill Ave, Pawtucket, RI, 02861-4315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
