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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
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
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
- Agent -

Commercial and government entity program

CAGE number:
607N6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-28
CAGE Expiration:
2030-02-28
SAM Expiration:
2026-02-26

Contact Information

POC:
LINDSAY STETLER

Immediate Level Owner

Vendor Certified:
2025-02-28
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1043277015
Certification Date:
2024-03-14

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
8002935872
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 Aug 2025

Sources: Florida Department of State