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David Carpentier, M.D. Family Health Care, Ltd.

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Company Details

Name: David Carpentier, M.D. Family Health Care, Ltd.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 17 Sep 1999 (26 years ago)
Date of Dissolution: 08 Oct 2024 (9 months ago)
Date of Status Change: 08 Oct 2024 (9 months ago)
Identification Number: 000108344
ZIP code: 02920
City: Cranston
County: Providence County
Purpose: DELIVERY OF HEALTH CARE SERVICES
Fictitious names: Cranston Medical, Inc. (trading name, 1999-11-09 - )
Principal Address: Google Maps Logo 27 LIBERA STREET SUITE 2, CRANSTON, RI, 02920, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
PATTY ALLISON FAIRWEATHER, ESQ. Agent 27 LIBERA STREET SUITE 2, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
DAVID CARPENTIER MD PRESIDENT 200 CANNON STREET, UNIT 128 CRANSTON, RI 02920 USA

National Provider Identifier

NPI Number:
1144296054

Authorized Person:

Name:
MRS. PATTY ALLISON FAIRWEATHER
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4019447727

Form 5500 Series

Employer Identification Number (EIN):
050507361
Plan Year:
2010
Number Of Participants:
10
Sponsor's DBA Name:
DBA CRANSTON MEDICAL, INC.
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID CARPENTIER(Plan administrator)

Filings

Number Name File Date
202459090830 Miscellaneous Filing (No Fee) 2024-08-19
202458549690 Revocation Notice For Failure to File An Annual Report 2024-08-02
202458817050 Registered Office Not Maintained 2024-06-26
202457145280 Revocation Notice For Failure to File An Annual Report 2024-06-25
202335257810 Statement of Change of Registered Office by the Registered Agent 2023-05-03

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$16,662.5
Date Approved:
2020-05-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,662.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$16,819.41
Servicing Lender:
The Washington Trust Company of Westerly
Use of Proceeds:
Payroll: $16,662.5

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Date of last update: 10 Jul 2025

Sources: Rhode Island Department of State