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Providence Interventional Pain, LLC

Company Details

Name: Providence Interventional Pain, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 17 Feb 2009 (16 years ago)
Identification Number: 000504537
ZIP code: 02895
County: Providence County
Purpose: MEDICAL OFFICE
Principal Address: Google Maps Logo 20 CUMBERLAND HILL RD SUITE 105, WOONSOCKET, RI, 02895, USA
Mailing Address: Google Maps Logo 139 HOMEWARD LANE, NORTH ATTLEBORO, MA, 02760, 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
ASHRAF FARID Agent 20 CUMBERLAND HILL ROAD SUITE 105, WOONSOCKET, RI, 02895, USA

National Provider Identifier

NPI Number:
1851699441
Certification Date:
2023-05-09

Authorized Person:

Name:
DR. ASHRAF FARID
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4015970987

Filings

Number Name File Date
202445042520 Annual Report 2024-01-30
202338992240 Annual Report 2023-07-02
202337193350 Revocation Notice For Failure to File An Annual Report 2023-06-16
202208362250 Annual Report 2022-01-21
202101204530 Annual Report 2021-09-10

USAspending Awards / Financial Assistance

Date:
2020-06-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
8290.00
Total Face Value Of Loan:
8290.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
8290
Current Approval Amount:
8290
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
8359.95

Date of last update: 29 May 2025

Sources: Rhode Island Department of State