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PROVIDENCE NUTRITION, LLC

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Company Details

Name: PROVIDENCE NUTRITION, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 15 Nov 2010 (15 years ago)
Identification Number: 000559650
ZIP code: 02903
County: Providence County
Purpose: TO PROVIDE NUTRITIONAL SUPPORT FOR CLIENTS
Principal Address: Google Maps Logo 439 BENEFIT STREET UNIT 1, PROVIDENCE, RI, 02903, USA

Contact Details

Phone +1 401-282-8707

Industry & Business Activity

NAICS

621399 Offices of All Other Miscellaneous Health Practitioners

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

National Provider Identifier

NPI Number:
1548775299

Authorized Person:

Name:
MR. NEIL BERANBAUM
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
133N00000X - Nutritionist
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
FSV33218 Seats - Less than 50 Active 2018-11-19 2025-04-30

Filings

Number Name File Date
202445352890 Annual Report 2024-02-02
202330837080 Statement of Change of Registered/Resident Agent 2023-03-15
202327151830 Annual Report 2023-02-01
202221268850 Annual Report 2022-07-14
202219319430 Revocation Notice For Failure to File An Annual Report 2022-06-22

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-10-22 Routine

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
18500.00
Total Face Value Of Loan:
18500.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
18500
Current Approval Amount:
18500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
18670.81

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Date of last update: 18 Jun 2025

Sources: Rhode Island Department of State