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ISD RENAL, INC. - Florida Company Profile

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Company Details

Entity Name: ISD RENAL, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 05 May 2005 (20 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 12 Oct 2011 (14 years ago)
Document Number: F05000002767
FEI/EIN Number 202694671
Address: 2000 16th Street, JLD/SecGovFin, Denver, CO, 80202, US
Mail Address: 601 Hawaii Street, JLD/SecGovFin, El Segundo, CA, 90245, US
Place of Formation: DELAWARE

Key Officers & Management

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

Commercial and government entity program

CAGE number:
6FMK8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-06-25
CAGE Expiration:
2027-02-16
SAM Expiration:
2023-03-17

Contact Information

POC:
DONNA BRAWLEY

Immediate Level Owner

Vendor Certified:
2022-02-16
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1740235001
Certification Date:
2020-04-20

Authorized Person:

Name:
JOHN D WINSTEL
Role:
CHIEF ACCOUNTING OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
8002935872
Fax:
9413587012

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000117810 LAKEWOOD RANCH DIALYSIS EXPIRED 2017-10-25 2022-12-31 - 8470 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 34201
G17000117852 NAPLES RENAL CENTER ACTIVE 2017-10-25 2027-12-31 - 6625 HILLWAY CIRCLE, ATTN: JLD/SECGOVFIN., NAPLES, FL, 34112
G12000009073 COLLIER COUNTY DIALYSIS EXPIRED 2012-01-26 2017-12-31 - 6625 HILLWAY CIRCLE, NAPLES, FL, 34112
G12000009072 MANATEE COUNTY DIALYSIS EXPIRED 2012-01-26 2017-12-31 - 8131 COOPER CREEK BLVD., UNIVERSITY PARK, FL, 34201
G11000104461 NAPLES RENAL CENTER EXPIRED 2011-10-25 2016-12-31 - 601 HAWAII STREET, EL SANGUNDO, CA, 90245
G11000104468 LAKEWOOD RANCH DIALYSIS EXPIRED 2011-10-25 2016-12-31 - 601 HAWAII STREET, EL SEGUNDO, CA, 90245

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -
CHANGE OF MAILING ADDRESS 2024-04-19 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -
NAME CHANGE AMENDMENT 2011-10-12 ISD RENAL, INC. -
REGISTERED AGENT NAME CHANGED 2008-08-25 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2008-08-25 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
NAME CHANGE AMENDMENT 2006-05-15 DSI RENAL, INC. -

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 2020-04-20
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-28

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Date of last update: 02 Aug 2025

Sources: Florida Department of State