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COMMUNITY FAMILY CLINIC, PLLC

Company Details

Name: COMMUNITY FAMILY CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Mar 2006 (19 years ago)
Organization Date: 28 Mar 2006 (19 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0635519
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40322
City: Frenchburg, Mariba, Scranton
Primary County: Menifee County
Principal Office: 784 HWY 36, FRENCHBURG, KY 40322
Place of Formation: KENTUCKY

Organizer

Name Role
TAUFIK KASSIS Organizer

Registered Agent

Name Role
TAUFIK KASSIS Registered Agent

Member

Name Role
TAUFIK KASSIS Member

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Fax Number:
606-768-9180
Contact Person:
SHANEICETA RUPE
User ID:
P0760328

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
KB5JG56PBPU9
CAGE Code:
4DJB3
UEI Expiration Date:
2025-10-29

Business Information

Division Name:
COMMUNITY FAMILY CLINIC, PLLC
Activation Date:
2024-10-31
Initial Registration Date:
2006-04-19

National Provider Identifier

NPI Number:
1518302892
Certification Date:
2023-07-20

Authorized Person:

Name:
TAUFIK KASSIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
204608382
Plan Year:
2023
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
47
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-05-02
Annual Report 2022-04-20
Annual Report 2021-04-06
Annual Report 2020-03-25

USAspending Awards / Contracts

Procurement Instrument Identifier:
1282A723C0007
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
99456.00
Base And Exercised Options Value:
99456.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2022-11-01
Description:
MEDICAL SERVICES; FRENCHBURG JOB CORP CENTER; FRENCHBURG, KY; EXERCISE OPTION YEAR 2
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- MANAGED HEALTHCARE
Procurement Instrument Identifier:
1282A718C0005
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
73600.00
Base And Exercised Options Value:
73600.00
Base And All Options Value:
372000.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2017-11-01
Description:
MEDICAL SERVICES; FRENCHBURG JOB CORPS CENTER; FRENCHBURG, KY
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
AG82A7C130004
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
70278.00
Base And Exercised Options Value:
70278.00
Base And All Options Value:
70278.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2012-10-30
Description:
IGF::CT::IGF PHYSICIAN SERVICES FOR FRENCHBURG JOB CORPS CCC
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE

USAspending Awards / Financial Assistance

Date:
2021-07-20
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
39758.03
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-23
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:
449900.00
Total Face Value Of Loan:
449900.00
Date:
2020-04-07
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:
413900.00
Total Face Value Of Loan:
413800.00

Paycheck Protection Program

Date Approved:
2021-03-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
449900
Current Approval Amount:
449900
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
452291.25
Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
413900
Current Approval Amount:
413800
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
416940.35

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-12-19 2025 Health & Family Services Cabinet Department For Community Based Services Non Pro Contract Lab Tests & Anal Fees 1099 Rep 50
Executive 2023-09-25 2024 Health & Family Services Cabinet Department For Community Based Services Non Pro Contract Lab Tests & Anal Fees 1099 Rep 75
Executive 2023-08-31 2024 Health & Family Services Cabinet Department For Community Based Services Non Pro Contract Lab Tests & Anal Fees 1099 Rep 50

Sources: Kentucky Secretary of State