| Entity Name: | ARA-AVENTURA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Nov 2001 (23 years ago) |
| Document Number: | L01000020151 |
| FEI/EIN Number | 06-1635994 |
| Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Mail Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386750164 | 2006-08-22 | 2023-10-23 | 19056 NE 29TH AVE, AVENTURA, FL, 331802802, US | 19056 NE 29TH AVE, AVENTURA, FL, 331802802, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 305-692-9006 |
| Fax | 3056829391 |
Authorized person
| Name | MONIQUE HARTELL |
| Role | MANAGER |
| Phone | 4806323415 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890092200 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Lowery Adelheid | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Odom Patrick | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Valle Ryan | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
