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Blackstone Valley Foot and Ankle, Inc.

Company Details

Name: Blackstone Valley Foot and Ankle, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Oct 2014 (11 years ago)
Identification Number: 000990887
ZIP code: 02861
County: Providence County
Purpose: PRACTICE OF PODIATRIC MEDICINE AND SURGERY
Principal Address: Google Maps Logo 345 ARMISTIC BLVD, PAWTUCKET, RI, 02861, USA

Contact Details

Phone +1 401-725-5576

Industry & Business Activity

NAICS

621391 Offices of Podiatrists

This U.S. industry comprises establishments of health practitioners having the degree of D.P.M. (Doctor of Podiatric Medicine) primarily engaged in the independent practice of podiatry. These practitioners diagnose and treat diseases and deformities of the foot and 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
JONATHAN V. KALANDER, ESQ. Agent 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
JOSEPH DOMENICO PRESIDENT 345 ARMISTICE BLVD PAWTUCKET, RI 02861 USA

DIRECTOR

Name Role Address
JOSEPH DOMENICO DIRECTOR 345 ARMISTICE BLVD PAWTUCKET, RI 02861 USA

National Provider Identifier

NPI Number:
1720482193

Authorized Person:

Name:
DR. JOSEPH KEVIN DOMENICO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Fax:
4017252640

Form 5500 Series

Employer Identification Number (EIN):
471995515
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:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

Licenses

License No License Type Status Date Issued Expiration Date
SRF0359 Specific Radiology Facility (Single) Active 2016-12-22 2025-08-31

Filings

Number Name File Date
202448455930 Annual Report 2024-03-13
202330048350 Annual Report 2023-03-06
202213405490 Annual Report 2022-03-24
202193480160 Annual Report 2021-03-03
202036486320 Annual Report 2020-03-18

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
49021.00
Total Face Value Of Loan:
49021.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
49021
Current Approval Amount:
49021
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
49380.49

Date of last update: 31 May 2025

Sources: Rhode Island Department of State