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Providence Healthcare of MS, LLC

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Company Details

Name: Providence Healthcare of MS, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 May 2013 (12 years ago)
Business ID: 1020768
ZIP code: 39170
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 118 LEVON OWENS DRIVETERRY, MS 39170

Agent

Name Role Address
Patrich Mann Agent 118 Levon Owens Drive, Terry, MS 39170

Member

Name Role Address
Patrich Mann Member 118 Levon Owens Drive, Terry, MS 39170

Unique Entity ID

CAGE Code:
88ZQ9
UEI Expiration Date:
2020-02-14

Business Information

Division Name:
PROVIDENCE HEALTHCARE OF MS LLC
Activation Date:
2019-02-22
Initial Registration Date:
2019-02-14

National Provider Identifier

NPI Number:
1144665738

Authorized Person:

Name:
PATRICH MANN
Role:
DIRECTOR/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
6018780687

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-10 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2024-02-07 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2023-06-09 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2022-01-19 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2021-01-04 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2020-06-13 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2019-01-08 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2018-04-11 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2017-03-14 Annual Report For Providence Healthcare of MS, LLC
Annual Report LLC Filed 2016-11-01 Annual Report For Providence Healthcare of MS, LLC

USAspending Awards / Financial Assistance

Date:
2021-03-13
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:
100000.00
Total Face Value Of Loan:
100000.00
Date:
2020-04-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$100,000
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$100,513.89
Servicing Lender:
BankPlus
Use of Proceeds:
Payroll: $99,994
Utilities: $1

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Date of last update: 02 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website