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Pawtucket SNF Operator, LLC

Company Details

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 (6 years ago)
Identification Number: 001701963
ZIP code: 02861
County: Providence County
Purpose: SKILLED NURSING FACILITY
Fictitious names: Pawtucket Falls Healthcare Center (trading name, 2020-03-16 - 2024-02-23)
Principal Address: Google Maps Logo 70 GILL AVENUE, PAWTUCKET, RI, 02861, USA
Mailing Address: Google Maps Logo 338 WHITESVILLE RD BLDG 5 STE 501, JACKSON, NJ, 08527, 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
STARLIGHT HEALTH CARE MANAGER 15 AMERICA AVE LAKEWOOD, NJ 08701 USA

National Provider Identifier

NPI Number:
1285242610
Certification Date:
2020-07-22

Authorized Person:

Name:
JEFFREY KAGAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Filings

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

Expenditures

Agency Date Program Subprogram Amount
Department of Administration 2022-12-23 CENTRAL MANAGEMENT DIRECTOR'S OFFICE 501610.72

USAspending Awards / Financial Assistance

Date:
2021-03-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1172324.27
Total Face Value Of Loan:
1172324.27

Paycheck Protection Program

Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1172324.27
Current Approval Amount:
1172324.27
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1182549.54

Date of last update: 13 May 2025

Sources: Rhode Island Department of State