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DVA RENAL HEALTHCARE, INC. - Florida Company Profile

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Company Details

Entity Name: DVA RENAL HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Mar 2000 (25 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 24 Oct 2005 (20 years ago)
Document Number: F00000001720
FEI/EIN Number 621323090

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 601 Hawaii Street, El Segundo, CA, 90245, US
Address: 2000 16th Street, Denver, CO, 80202, US
Place of Formation: TENNESSEE

Key Officers & Management

Name Role Address
Caldwell Samantha A Auth 2000 16th Street, Denver, CO, 80202
Berry Christopher M Treasurer 2000 16th Street, Denver, CO, 80202
Berberich Stephanie N Secretary 2000 16th Street, Denver, CO, 80202
Maughan David P Director 2000 16th Street, Denver, CO, 80202
CORPORATION SERVICE COMPANY Agent -

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
5X8N8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-04-03
CAGE Expiration:
2027-03-08
SAM Expiration:
2023-04-03

Contact Information

POC:
DONNA BRAWLEY

Immediate Level Owner

Vendor Certified:
2022-03-08
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1043277015
Certification Date:
2024-03-14
Link:
View on NPI website

Authorized Person:

Name:
SAMUEL T WEY
Role:
VP LICENSURE & CERTIFICATION
Phone:
6153416641

Taxonomy:

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

Contacts:

Phone:
+1 615-320-4593
Fax:
8002935872
Phone:
+1 305-627-9311
Fax:
3056289389

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000033342 MELBOURNE DIALYSIS ACTIVE 2021-03-10 2026-12-31 - 4175 W NEW HAVEN AVE, STE 15, ATTN: JLD/SECGOVFIN, MELBOUEN, FL, 32904
G17000138751 SOUTH BROWARD ACUTES ACTIVE 2017-12-19 2027-12-31 - 1299 E COMMERCIAL BLVD, SUITE 202, ATTN: JLD/SECGOVFIN., OAKLAND PARK, FL, 33334--480
G17000117755 FLORIDA MEDICAL ACUTES EXPIRED 2017-10-25 2022-12-31 - 1299 E. COMMERCIAL BLVD, SUITE 202, OAKLAND PARK, FL, 33334
G17000115950 FLORIDA ACUTES ACTIVE 2017-10-20 2027-12-31 - 1299 E COMMERCIAL BLVD, STE 202, ATTN: JLD/SECGOVFIN., OAKLAND PARK, FL, 33334
G15000112506 ORLANDO NORTH DIALYSIS ACTIVE 2015-11-04 2025-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN, EL SEGUNDO, CA, 90245
G15000112512 ORLANDO SOUTHWEST DIALYSIS ACTIVE 2015-11-04 2025-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN, EL SEGUNDO, CA, 90245
G13000108877 LAKELAND SOUTH DIALYSIS ACTIVE 2013-11-05 2028-12-31 - 4774 S. FLORIDA AVENUE, ATTN: JLD/SECGOVFIN., LAKELAND, FL, 33813
G13000076288 LAKELAND SOUTH DIALYSIS EXPIRED 2013-07-31 2018-12-31 - 4730 S. FLORIDA AVENUE, UNITE 11, LAKELAND, FL, 33813
G13000069144 MIAMI CAMPUS DIALYSIS ACTIVE 2013-07-09 2028-12-31 - 1951 NW 7TH AVENUE, SUITE 500, MIAMI, FL, 33136
G12000004021 MIAMI GARDENS DIALYSIS ACTIVE 2012-01-11 2027-12-31 - 3363 NW 167TH ST., ATTN: JLD/SECGOVFIN., MIAMI GARDENS, FL, 33056

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-14 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -
CHANGE OF MAILING ADDRESS 2023-04-14 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -
NAME CHANGE AMENDMENT 2005-10-24 DVA RENAL HEALTHCARE, INC. -
MERGER 2005-01-24 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000051831
AMENDMENT 2004-12-14 - MERGER MERGING GAMBRO HEALTHCARE OF EAST ORLANDO, LLP FILED IN ERROR - UPDATED AS AMENDMENT 3/3/05

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-23
ANNUAL REPORT 2021-04-27
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

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Date of last update: 01 Jun 2025

Sources: Florida Department of State

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