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DVA HEALTHCARE RENAL CARE, INC.

Company Details

Entity Name: DVA HEALTHCARE RENAL CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Active
Date Filed: 31 Aug 1976 (48 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 12 Oct 2005 (19 years ago)
Document Number: 836941
FEI/EIN Number 95-2977916
Address: 2000 16th Street, JLD/SecGovFin, Denver, CO 80202
Mail Address: 601 Hawaii Street, JLD/SecGovFin, El Segundo, CA 90245
Place of Formation: NEVADA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932430717 2010-01-19 2010-01-19 5200 VIRGINIA WAY, 4TH FLOOR L&C DEPT, BRENTWOOD, TN, 370277569, US 1315 SE 8TH TER, CAPE CORAL, FL, 339903213, US

Contacts

Phone +1 615-320-4521
Fax 8665942894
Phone +1 239-772-5600
Fax 2397723182

Authorized person

Name JAMES K HILGER
Role VICE PRESIDENT
Phone 2533821919

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5X2P3 Active Non-Manufacturer 2010-03-08 2023-08-29 2027-08-31 2023-08-29

Contact Information

POC DONNA BRAWLEY
Phone +1 253-382-1493
Fax +1 888-577-9570
Address 13 KINGSWOOD DR STE A, PALM COAST, FL, 32137 4614, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2022-08-31
CAGE number 45JM2
Company Name DAVITA INC.
CAGE Last Updated 2024-03-29
List of Offerors (0) Information not Available

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Authorized Person

Name Role Address
Caldwell, Samantha A. Authorized Person 2000 16th Street, JLD/SecGovFin Denver, CO 80202

Director

Name Role Address
Staffieri, Michael D. Director 2000 16th Street, JLD/SecGovFin Denver, CO 80202

President

Name Role Address
Staffieri, Michael D. President 2000 16th Street, JLD/SecGovFin Denver, CO 80202

Treasurer

Name Role Address
Berry, Christopher M. Treasurer 2000 16th Street, JLD/SecGovFin Denver, CO 80202

Secretary

Name Role Address
Berberich, Stephanie N. Secretary 2000 16th Street, JLD/SecGovFin Denver, CO 80202

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000040263 SEBASTIAN DIALYSIS ACTIVE 2021-03-24 2026-12-31 No data 1424 US HWY 1, STE C, SEBASTIAN, FL, 32958
G19000114046 WEST TAMPA DIALYSIS ACTIVE 2019-10-21 2029-12-31 No data 4515 GEORGE ROAD, SUITE 300, TAMPA, FL, 33634
G19000113434 FORT MYERS SOUTH DIALYSIS ACTIVE 2019-10-18 2029-12-31 No data 8850 GLADIOLUS DR., ATTN: JLD/SECGOVFIN., FORT MYERS, FL, 33908
G17000115927 WINTER HAVEN DIALYSIS ACTIVE 2017-10-20 2027-12-31 No data 1625 UNITY WAY NW, ATTN: JLD/SECGOVFIN., WINTER HAVEN, FL, 33881
G17000115496 EAST BROWARD ACUTES ACTIVE 2017-10-19 2027-12-31 No data 1299 E COMMERCIAL BLVD, STE 202, ATTN: JLD/SECGOVFIN., OAKLAND PARK, FL, 33334
G17000115504 MANATEE ACUTES ACTIVE 2017-10-19 2027-12-31 No data 1130 NIKKI VIEW DR, BRANDON, FL, 33511
G17000115515 N BROWARD ACUTES ACTIVE 2017-10-19 2027-12-31 No data 1299 E COMMERCIAL BVD, STE 202, ATTN: JLD/SECGOVFIN., OAKLAND PARK, FL, 33334
G17000115524 PASCO ACUTES ACTIVE 2017-10-19 2027-12-31 No data 1130 NIKKI VIEW DR, ATTN: JLD/SECGOVFIN., BRANDON, FL, 33511
G17000115526 SOUTH BEACH ACUTES ACTIVE 2017-10-19 2027-12-31 No data 1299 E COMMERCIAL BLVD, STE 202, OAKLAND PARK, FL, 33334
G17000115077 BAYFRONT ACUTES EXPIRED 2017-10-18 2022-12-31 No data 1130 NIKKI VIEW DR., BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 No data
CHANGE OF MAILING ADDRESS 2024-04-19 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 No data
NAME CHANGE AMENDMENT 2005-10-12 DVA HEALTHCARE RENAL CARE, INC. No data
REGISTERED AGENT ADDRESS CHANGED 1998-12-23 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
REGISTERED AGENT NAME CHANGED 1998-12-23 CORPORATION SERVICE COMPANY No data
NAME CHANGE AMENDMENT 1997-09-25 GAMBRO HEALTHCARE RENAL CARE, INC. No data
NAME CHANGE AMENDMENT 1995-10-18 VIVRA RENAL CARE, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-23
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-28

Date of last update: 06 Feb 2025

Sources: Florida Department of State