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BERKSHIRE PLACE SNF LLC

Company Details

Name: BERKSHIRE PLACE SNF LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 29 Oct 2020 (4 years ago)
Identification Number: 001714602
Principal Address: 1135 EAST VETERANS HIGHWAY BUILDING 3 SUITE 1, JACKSON, NJ, 08527, US
Purpose: NURSING HOME
NAICS: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Fictitious names: BERKSHIRE REHAB AND HEALTHCARE CENTER (trading name, 2021-02-01 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033704721 2021-03-04 2021-03-04 455 DOUGLAS AVE, PROVIDENCE, RI, 029082542, US 455 DOUGLAS AVE, PROVIDENCE, RI, 029082542, US

Contacts

Phone +1 347-254-4338

Authorized person

Name AHARON STERN
Role MEMBER
Phone 3472544338

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
984500A4K4404DAA7E83 001714602 US-RI GENERAL ACTIVE 2020-10-29

Addresses

Legal 7 CREEK LN, BRISTOL, US-RI, US, 02809
Headquarters 2110 W COUNTY LINE RD STE 2, JACKSON, US-NJ, US, 08527

Registration details

Registration Date 2021-01-26
Last Update 2024-02-03
Status LAPSED
Next Renewal 2024-02-03
LEI Issuer 529900T8BM49AURSDO55
Corroboration Level FULLY_CORROBORATED
Data Validated As 001714602

Agent

Name Role Address
NUCO FILINGS CORP. Agent 222 JEFFERSON BLVD SUITE 200, WARWICK, RI, 02888, USA

MANAGER

Name Role Address
HAL NOVAK MANAGER 29 CABERNET DR LAKEWOOD, NJ 08701 US

Filings

Number Name File Date
202458575310 Statement of Change of Registered/Resident Agent 2024-08-05
202457884260 Annual Report 2024-07-12
202456299650 Revocation Notice For Failure to File An Annual Report 2024-06-18
202338700340 Annual Report 2023-06-26
202337162130 Revocation Notice For Failure to File An Annual Report 2023-06-16
202211789880 Annual Report 2022-02-28
202104973280 Annual Report 2021-11-12
202189142740 Fictitious Business Name Statement 2021-02-01
202069818200 Articles of Organization 2020-10-29

Date of last update: 28 Oct 2024

Sources: Rhode Island Department of State