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Halcyon at West Bay, LLC

Company Details

Name: Halcyon at West Bay, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 04 Feb 2021 (4 years ago)
Identification Number: 001718865
ZIP code: 02908
County: Providence County
Purpose: OPERATION OF A LICENSED ASSISTED LIVING FACILITY
Principal Address: Google Maps Logo C/O CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA
Mailing Address: Google Maps Logo 2783 WEST SHORE ROAD, WARWICK, RI, 02886, USA

Contact Details

Phone +1 401-739-7300
+1 740-491-8721

Industry & Business Activity

NAICS

621999 All Other Miscellaneous Ambulatory Health Care Services

This U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). Learn more at the U.S. Census Bureau

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Manager

Name Role Address
STEVEN LOWINGER Manager C/O CAMERON & MITTLEMAN LLP, 301 PROMENADE STREET PROVIDENCE, RI 02908 USA

National Provider Identifier

NPI Number:
1801478748
Certification Date:
2021-04-21

Authorized Person:

Name:
MRS. CHARITY ANN STACKHOUSE
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
311500000X - Alzheimer Center (Dementia Center)
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
ALR01515 Special Care Unit Active 2021-04-20 2025-12-31
ALR01515 Assisted Living Residence Active 2021-04-20 2025-12-31
FSV34624 Seats - 50 or More Active 2021-04-13 2026-04-30

Filings

Number Name File Date
202444287580 Annual Report 2024-01-19
202444287210 Annual Report 2024-01-19
202444288910 Reinstatement 2024-01-19
202341036290 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-11
202337485950 Revocation Notice For Failure to File An Annual Report 2023-06-16

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2025-02-24 Re-Inspection
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2025-02-10 Routine
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-02-02 Re-Inspection
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-01-16 Re-Inspection
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-01-03 Routine

Date of last update: 14 May 2025

Sources: Rhode Island Department of State