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Louisville Patient Centered Medical Home, PSC

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Company Details

Name: Louisville Patient Centered Medical Home, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Nov 2011 (14 years ago)
Organization Date: 21 Nov 2011 (14 years ago)
Organization Number: 0805985
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 4010 Dupont Circle Suite 308, Professional Towers, Louisville, KY 40207
Place of Formation: KENTUCKY
Authorized Shares: 100

Incorporator

Name Role
James D Charasika Incorporator

Organizer

Name Role
James D Charasika Organizer

Registered Agent

Name Role
James D Charasika Registered Agent

National Provider Identifier

NPI Number:
1265604763

Authorized Person:

Name:
DR. JAMES D. CHARASIKA
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5028968044

Filings

Name File Date
Dissolution 2012-02-16

USAspending Awards / Financial Assistance

Date:
2020-05-04
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:
136123.00
Total Face Value Of Loan:
136123.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$136,123
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$136,123
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$137,608.93
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $106,223
Rent: $18,820
Healthcare: $11080

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Sources: Kentucky Secretary of State