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ENCOMPASS PEDIATRICS, LLC

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Company Details

Name: ENCOMPASS PEDIATRICS, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 28 Sep 2017 (8 years ago)
Date of Dissolution: 13 Dec 2024 (7 months ago)
Date of Status Change: 13 Dec 2024 (7 months ago)
Identification Number: 001677552
ZIP code: 02860
City: Pawtucket
County: Providence County
Purpose: PRIMARY CARE OFFICE FOR PEDIATRIC AND ADULT MEDICAL CARE
Fictitious names: Encompass Family Medicine (trading name, 2018-04-02 - )
Principal Address: Google Maps Logo 126 PROSPECT ST SUITE 202, PAWTUCKET, RI, 02860, 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
ASHA SRINATH Agent 126 PROSPECT STREET SUITE 202, PAWTUCKET, RI, 02860, USA

Manager

Name Role Address
SURYADUTT VENKAT Manager 126 PROSPECT ST, SUITE 202 PAWTUCKET, RI 02860 USA

National Provider Identifier

NPI Number:
1659882504

Authorized Person:

Name:
ASHA SRINATH
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202444221700 Annual Report 2024-01-19
202326398290 Annual Report 2023-01-22
202220842970 Annual Report 2022-07-08
202219003410 Revocation Notice For Failure to File An Annual Report 2022-06-22
202100445510 Annual Report 2021-08-28

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$59,489
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,353
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$62,875.04
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $72,353

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Date of last update: 15 Jul 2025

Sources: Rhode Island Department of State