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OCEAN STATE PRIMARY CARE, LLC

Company Details

Name: OCEAN STATE PRIMARY CARE, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 13 Oct 2005 (20 years ago)
Identification Number: 000151208
ZIP code: 02886
County: Kent County
Purpose: MEDICAL SERVICES PROVIDER
Principal Address: Google Maps Logo 300 TOLLGATE ROAD SUITE 202, WARWICK, RI, 02886, 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
ANTHONY F. AMALFETANO, ESQ. Agent 140 COWESETT GREEN DRIVE, WARWICK, RI, 02886, USA

National Provider Identifier

NPI Number:
1548332257
Certification Date:
2021-07-22

Authorized Person:

Name:
FARHAT IBRAHIM
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4017393759

Form 5500 Series

Employer Identification Number (EIN):
203578572
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Number Name File Date
202455273020 Annual Report 2024-05-31
202333084300 Annual Report 2023-04-14
202212842980 Annual Report 2022-03-14
202103773980 Annual Report 2021-10-21
202197367890 Statement of Change of Registered/Resident Agent Office 2021-06-01

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
53752.00
Total Face Value Of Loan:
53752.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
53752
Current Approval Amount:
53752
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
54313.41

Date of last update: 27 May 2025

Sources: Rhode Island Department of State