| Name: | JENKS PARK PEDIATRICS INC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 06 Dec 2019 (5 years ago) |
| Identification Number: | 001702469 |
| ZIP code: | 02863 |
| County: | Providence County |
| Principal Address: | 577 BROAD STREET 1ST FLOOR, CENTRAL FALLS, RI, 02863, USA |
| Purpose: | PROVIDE HEALTH SERVICES IN OUTPATIENT OFFICE |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis 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 psychiatry or psychoanalysis. 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679116214 | 2019-10-28 | 2019-10-28 | 577 BROAD ST FL 1, CENTRAL FALLS, RI, 028632837, US | 577 BROAD ST FL 1, CENTRAL FALLS, RI, 028632837, US | |||||||||||||
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| Phone | +1 401-339-7046 |
Authorized person
| Name | DR. BEATA FELICIA NELKEN |
| Role | PRESIDENT / C.E.O. |
| Phone | 4013397046 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENKS PARK PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 842662246 | 2024-06-25 | JENKS PARK PEDIATRICS | 18 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-25 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013397046 |
| Plan sponsor’s address | 577 BROAD ST, CENTRAL FALLS, RI, 028632837 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-19 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BEATA NELKEN | Agent | 577 BROAD STREET, CENTRAL FALLS, RI, 02863, USA |
| Name | Role | Address |
|---|---|---|
| BEATA NELKEN | PRESIDENT | 577 BROAD STREET, 1ST FLOOR CENTRAL FALLS, RI 02863 USA |
| Name | Role | Address |
|---|---|---|
| ERNESTO NOE REGUS | VICE PRESIDENT | 48 GLEN AVE CRANSTON, RI 02905 USA |
| Number | Name | File Date |
|---|---|---|
| 202453906560 | Annual Report | 2024-04-25 |
| 202328786680 | Annual Report | 2023-02-18 |
| 202208840820 | Annual Report | 2022-01-29 |
| 202187624400 | Annual Report | 2021-01-23 |
| 202058981890 | Annual Report | 2020-09-29 |
| 202055258210 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201929548680 | Articles of Incorporation | 2019-12-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8389157400 | 2020-05-18 | 0165 | PPP | 577 BROAD ST, CENTRAL FALLS, RI, 02863-2837 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
