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Narragansett Bay Anesthesia, LLC

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Company Details

Name: Narragansett Bay Anesthesia, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 10 Jun 2004 (21 years ago)
Identification Number: 000140777
ZIP code: 02908
City: Providence
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE SPECIALIZING IN ANESTHESIA
Fictitious names: ST. JOSEPH HOSPITAL SCHOOL OF ANESTHESIA FOR NURSES (trading name, 2021-09-14 - )
St. Joseph Hospital School of Nurse Anesthesia (trading name, 2021-09-14 - )
Principal Address: Google Maps Logo 42 ORIENTAL ST, PROVIDENCE, RI, 02908, USA
Mailing Address: Google Maps Logo 1 UNIVERSITY AVE SUITE 104, WESTWOOD MA, MA, 02090, USA

Industry & Business Activity

NAICS

622110 General Medical and Surgical Hospitals

This industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau

Agent

Name Role Address
VIJAYENDRA SUDHEONDRA Agent 42 ORIENTAL STREET, PROVIDENCE, RI, 02908, USA

MANAGER

Name Role Address
VIJAYENDRA SUDHEENDRA, MD MANAGER 42 ORIENTAL STREET PROVIDENCE, RI 02908 USA
RICHARD PEDRO, MD MANAGER 42 ORIENTAL STREET PROVIDENCE, RI 02908 USA

National Provider Identifier

NPI Number:
1861445728
Certification Date:
2021-07-21

Authorized Person:

Name:
MR. ROBERT D MCIVOR
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
7814077712

Form 5500 Series

Employer Identification Number (EIN):
201249293
Plan Year:
2024
Number Of Participants:
115
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHAD CARROLL(Plan administrator)
Plan Year:
2023
Number Of Participants:
109
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHAD CARROLL(Plan administrator)
Plan Year:
2022
Number Of Participants:
110
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHAD CARROLL(Plan administrator)
Plan Year:
2021
Number Of Participants:
99
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
KATHY SAMARAS(Plan administrator)
Plan Year:
2020
Number Of Participants:
96
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
VIJAYENDRA SUDHEENDRA(Plan administrator)
VIJAYENDRA SUDHEENDRA(Employer/plan sponsor)

Filings

Number Name File Date
202449073250 Annual Report 2024-03-21
202333678220 Annual Report 2023-04-24
202213759430 Annual Report 2022-03-30
202103954460 Annual Report 2021-10-26
202101518790 Fictitious Business Name Statement 2021-09-14

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2022-09-02
Action:
Continuation

Parties

Party Name:
Narragansett Bay Anesthesia, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2017-09-11
Action:
InitialFiling

Parties

Party Name:
Narragansett Bay Anesthesia, LLC
Party Role:
Debtor(s)
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$1,344,000
Total Face Value Of Loan:
$1,344,000

Paycheck Protection Program

Jobs Reported:
71
Initial Approval Amount:
$1,344,000
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,344,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$1,355,274.67
Servicing Lender:
The Washington Trust Company of Westerly
Use of Proceeds:
Payroll: $1,344,000

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Date of last update: 11 Jul 2025

Sources: Rhode Island Department of State