| Name: | CHILDREN'S CHOICE PEDIATRICS, 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: | 000151209 |
| ZIP code: | 02893 |
| County: | Kent County |
| Principal Address: | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893, USA |
| Purpose: | MEDICAL SERVICES PROVIDER |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912074675 | 2006-11-29 | 2008-07-15 | 37 WASHINGTON ST, WEST WARWICK, RI, 028934927, US | 37 WASHINGTON ST, WEST WARWICK, RI, 028934927, US | |||||||||||||||
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| Phone | +1 401-381-0066 |
| Fax | 4013810068 |
Authorized person
| Name | KARIM ZOOL KHANBHAI |
| Role | M.D |
| Phone | 4013810066 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCP CASH BALANCE PLAN | 2023 | 203564408 | 2024-06-18 | CHILDREN'S CHOICE PEDIATRICS, LLC | 3 | |||||||||||||||||||||||
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| CCP 401(K)PLAN | 2014 | 203564408 | 2015-10-07 | CHILDREN'S CHOICE PEDIATRICS, LLC | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-07 |
| Name of individual signing | KARIM KHANBHAI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013810066 |
| Plan sponsor’s address | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-01 |
| Name of individual signing | KARIM KHANBHAI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013810066 |
| Plan sponsor’s address | 37 WASHINGTON STREET, WEST WARWICK, RI, 02893 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-09 |
| Name of individual signing | KARIM KHANBHAI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANTHONY F. AMALFETANO, ESQ. | Agent | 140 COWESETT GREEN DRIVE, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202446060820 | Annual Report | 2024-02-07 |
| 202327973540 | Annual Report | 2023-02-06 |
| 202211070140 | Annual Report | 2022-02-16 |
| 202101825960 | Annual Report | 2021-09-20 |
| 202197367980 | Statement of Change of Registered/Resident Agent Office | 2021-06-01 |
| 202062963600 | Annual Report | 2020-10-06 |
| 201921339790 | Annual Report | 2019-09-23 |
| 201878199050 | Annual Report | 2018-09-21 |
| 201749534490 | Annual Report | 2017-09-11 |
| 201608910810 | Annual Report | 2016-09-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2420977303 | 2020-04-29 | 0165 | PPP | 37 WASHINGTON ST, WEST WARWICK, RI, 02893-4927 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
