| Entity Name: | ARA-TITUSVILLE DIALYSIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ARA-TITUSVILLE DIALYSIS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 27 Sep 2002 (22 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 17 May 2022 (3 years ago) |
| Document Number: | L02000025577 |
| FEI/EIN Number |
05-0537651
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 500 Cummings Center, Beverly, MA, 01915, US |
| Mail Address: | 801 Garden Street, Titusville, FL, 32769, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437261112 | 2006-08-31 | 2023-01-10 | 801 GARDEN ST STE B, TITUSVILLE, FL, 327963408, US | 801 GARDEN ST STE B, TITUSVILLE, FL, 327963408, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 321-567-0122 |
| Fax | 3215670124 |
Authorized person
| Name | SARA ANNE BRADY |
| Role | CHIEF NURSING OFFICER |
| Phone | 2083717878 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890112100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMERICAN RENAL ASSOCIATES LLC | Member | - |
| Kamal Syed T | Manager | 500 Cummings Center, Beverly, MA, 01915 |
| Verma Shyam M.D. | Member | 500 Cummings Center, Beverly, MA, 01915 |
| Verma Shyam M.D. | Manager | 500 Cummings Center, Beverly, MA, 01915 |
| Mendez Nick | Manager | 500 Cummings Center, Beverly, MA, 01915 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000152663 | TITUSVILLE DIALYSIS AND KIDNEY CENTER | ACTIVE | 2022-12-12 | 2027-12-31 | - | 500 CUMMINGS CENTER, SUITE 6550, BEVERY, MA, 01915 |
| G02270900205 | TITUSVILLE DIALYSIS AND KIDNEY CENTER | ACTIVE | 2002-09-27 | 2027-12-31 | - | 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA, 01915 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-22 | 500 Cummings Center, Suite 6550, Beverly, MA 01915 | - |
| CHANGE OF MAILING ADDRESS | 2023-02-22 | 500 Cummings Center, Suite 6550, Beverly, MA 01915 | - |
| LC STMNT OF RA/RO CHG | 2022-05-17 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| REGISTERED AGENT NAME CHANGED | 2022-05-17 | CORPORATION SERVICE COMPANY | - |
| REINSTATEMENT | 2003-10-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-22 |
| CORLCRACHG | 2022-05-17 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
