| Entity Name: | HOME DIALYSIS SERVICES NORTH TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2015 (10 years ago) |
| Document Number: | L15000051171 |
| FEI/EIN Number | 47-3514639 |
| Mail Address: | 15786 S. BELL RD., HOMER GLEN, IL, 60491 |
| Address: | 7187 BROAD ST., BROOKSVILLE, FL, 34601 |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689056921 | 2015-06-23 | 2018-10-01 | PO BOX 3134, JOLIET, IL, 604343134, US | 7187 BROAD ST, BROOKSVILLE, FL, 346015536, US | |||||||||||||||||||
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| Phone | +1 815-741-6830 |
| Fax | 8157416832 |
| Phone | +1 352-848-3689 |
| Fax | 3527774958 |
Authorized person
| Name | DR. MORUFU ALAUSA |
| Role | MEDICAL DIRECTOR |
| Phone | 8157416830 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| DIALYSIS CARE CENTER HOLDINGS, LLC | Authorized Member | 15786 S. BELL DRIVE, HOMER GLEN, IL, 60491 |
| JUVVADI RAGHU Dr. | Authorized Member | 15801 S. Bell Rd., Homer Glen, IL, 60491 |
| HOME DIALYSIS OF ILLINOIS LLC | Authorized Member | 15786 S. BELL RD., HOMER GLEN, IL, 60491 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-21 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-08-04 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-06-20 |
| Florida Limited Liability | 2015-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
