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CONCOURSE VILLAGE PRIMARY CARE PLLC

CONCOURSE VILLAGE PRIMARY CARE PLLC

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Company Details

Name:	CONCOURSE VILLAGE PRIMARY CARE PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	26 Apr 2007 (18 years ago)
Entity Number:	3508609
ZIP code:	10451
County:	Bronx
Place of Formation:	New York
Address:	769 CONCOURSE VILLAGE WEST, BRONX, NY, United States, 10451

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	769 CONCOURSE VILLAGE WEST, BRONX, NY, United States, 10451

Unique Entity ID

Unique Entity ID:

JLSYFUL7LS53

CAGE Code:

95EW5

UEI Expiration Date:

2022-10-08

Business Information

Activation Date:

2021-09-10

Initial Registration Date:

2021-09-07

National Provider Identifier

NPI Number:

1093984981

Link:

View on NPI website

Authorized Person:

Name:

DR. JEAN R. MACENAT

Role:

PRESIDENT

Phone:

7184024021

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 718-402-4021

Fax:

7184024023

Form 5500 Series

Employer Identification Number (EIN):

208939043

Plan Year:

2023

Number Of Participants:

9

Sponsors Telephone Number:

7184024021

File:

Plan Year:

2022

Number Of Participants:

8

Sponsors Telephone Number:

7184024021

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

7184024021

File:

Plan Year:

2020

Number Of Participants:

10

Sponsors Telephone Number:

7184024021

File:

Plan Year:

2020

Number Of Participants:

10

Sponsors Telephone Number:

7184024021

Filings

Filing Number	Date Filed	Type	Effective Date
150420006184	2015-04-20	BIENNIAL STATEMENT	2015-04-01
130409006524	2013-04-09	BIENNIAL STATEMENT	2013-04-01
110707002225	2011-07-07	BIENNIAL STATEMENT	2011-04-01
090414003106	2009-04-14	BIENNIAL STATEMENT	2009-04-01
070731000448	2007-07-31	CERTIFICATE OF PUBLICATION	2007-07-31

USAspending Awards / Financial Assistance

Date:

2020-05-02

Link:

View on USAspending

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:

44495.00

Total Face Value Of Loan:

44495.00

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$44,495

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$44,495

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$45,069.13

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $35,596
Utilities: $2,178
Mortgage Interest: $3,211
Healthcare: $3510

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State