| Name: | Koann Therapeutic Services Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Jul 2021 (4 years ago) |
| Identification Number: | 001727176 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 845 NORTH MAIN STREET L1A, PROVIDENCE, RI, 02904, USA |
| Purpose: | PSYCHIATRY AND MENTAL HEALTH SERVICES |
| Fictitious names: |
Revive Therapeutic Services (trading name, 2021-08-11 - ) |
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Koann Therapeutic Services Inc., KENTUCKY | 1304640 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
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| 1639843303 | 2021-08-05 | 2024-10-30 | PO BOX 3085, PAWTUCKET, RI, 028610585, US | 845 N MAIN ST, PROVIDENCE, RI, 029045700, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-648-7172 |
| Fax | 4016480161 |
Authorized person
| Name | AKOS ANTWI |
| Role | PROVIDER/CEO |
| Phone | 4016487172 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0807X - Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0809X - Adult Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent | 222 JEFFERSON BLVD. SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| AKOS ANTWI | PRESIDENT | 845 NORTH MAIN STREET, L1A PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| ABBY ANTWI | VICE PRESIDENT | 845 NORTH MAIN STREET, L1A PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 202446915120 | Annual Report | 2024-02-20 |
| 202332306250 | Annual Report | 2023-04-03 |
| 202326295850 | Annual Report | 2023-01-20 |
| 202221971020 | Annual Report | 2022-08-05 |
| 202220312310 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202100100400 | Fictitious Business Name Statement | 2021-08-11 |
| 202199455810 | Articles of Incorporation | 2021-07-21 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2953690 | KOANN THERAPEUTIC SERVICES INC. | REVIVE THERAPEUTIC SERVICES | E5QHRN58J1P5 | 845 N MAIN ST, STE L1A, PROVIDENCE, RI, 02904-5774 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621330 |
| NAICS Code's Description | Offices of Mental Health Practitioners (except Physicians) |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
