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NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES LLC

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Company Details

Legal Name: NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 17th 2017
Expiration date: 31 Mar 2026
UBI Number: 604 101 690
ZIP code: 98466
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4114 BRIDGEPORT WAY W, UNIVERSITY PL, WA, 98466-4315, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 12400 SE 38TH ST, PO BOX 53225, BELLEVUE, WA, 98006-5041, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $53,554

Contact Details

E-Mail: ED.SHASAVARI@GMAIL.COM
Phone Number: +1 253-564-4157

Nature of Business

Health Care, Social Assistance & Service Organization, Any Lawful Purpose

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Registered Agent Information

Name Role Address
MITRA R HANJANI Registered Agent 4114 BRIDGEPORT WAY W, UNIVERSITY PL, WA, 98466-4315, UNITED STATES

Key Officers & Management

Name Role
MITRA HANJANI, MD Governing Person

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
EDDIE SHASAVARI
Last Update Date:
2024-07-11
Naics Primary:
621111

Self-Certification:

Minority-Owned Business
Self-Certified Small Disadvantaged Business
For Profit Organization
Woman-Owned Business
Individual or concern, other than one of the the proceeding
Limited Liability Company

Unique Entity ID

Unique Entity ID:
FLDLVZR1A9N1
CAGE Code:
9Y3U6
UEI Expiration Date:
2025-07-03

Business Information

Activation Date:
2024-07-09
Initial Registration Date:
2024-07-03

National Provider Identifier

NPI Number:
1457873002
Certification Date:
2023-07-28

Authorized Person:

Name:
MITRA HANJANI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2532202491
Fax:
2535644813

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$67,266
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$67,266
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,638.27
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $67,265
Utilities: $1
Jobs Reported:
7
Initial Approval Amount:
$58,500
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$59,218.03
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $58,500
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