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PENINSULA HOMECARE COOPERATIVE

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Company Details

Legal Name: PENINSULA HOMECARE COOPERATIVE
Jurisdiction: WASHINGTON
Entity Type: WA MISCELLANEOUS AND MUTUAL CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 15th 2015
Expiration date: 30 Sep 2025
UBI Number: 603 541 426
ZIP code: 98368
City: Port Townsend
County: JEFFERSON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1017B WATER ST, PORT TOWNSEND, WA, 98368-6705, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 468, PORT TOWNSEND, WA, 98368-0468, UNITED STATES

Contact Details

E-Mail: THRIVE@PHC.COOP
Phone Number: +1 360-385-9664

Nature of Business

SENIOR HOME CARE

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Registered Agent Information

Name Role
PENINSULA HOMECARE COOPERATIVE Registered Agent

Key Officers & Management

Name Role Address
LAUREN DUREC Governing Person -
ERRICHETTI ROBIN Governing Person -
KORI STONHILL Governing Person -
MERILEE NYLAND Initial Board Of Director 246 UMATILLA AVE, PORT TOWNSEND, WA, 98368-5040, UNITED STATES
PATRICE BARRY Initial Board Of Director 163 W PATISON ST, PORT TOWNSEND, WA, 98368, UNITED STATES
RITA VAUGHT Initial Board Of Director 1806 LAWRENCE ST, PORT TOWNSEND, WA, 98368-7911, UNITED STATES
LAURA OVETTE Initial Board Of Director 3190 LANDES ST, PORT TOWNSEND, WA, 98368-7111, UNITED STATES
KIPPI WATERS Initial Board Of Director 409 22ND ST, PORT TOWNSEND, WA, 98368-7805, UNITED STATES
KIPPI WATERS INCORPORATOR 409 22ND ST, PORT TOWNSEND, WA, 98368-7805, UNITED STATES

National Provider Identifier

NPI Number:
1568101723
Certification Date:
2022-06-03

Authorized Person:

Name:
MRS. KIPPI WATERS
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
3603851661

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$98,818
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$98,818
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$99,512.47
Servicing Lender:
National Cooperative Bank, National Association
Use of Proceeds:
Payroll: $98,818
Jobs Reported:
11
Initial Approval Amount:
$97,855
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$97,855
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$98,713.95
Servicing Lender:
National Cooperative Bank, National Association
Use of Proceeds:
Payroll: $97,853
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