| Entity Name: | HOME DIALYSIS SERVICES CARROLLWOOD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Dec 2019 (5 years ago) |
| Document Number: | L19000290237 |
| FEI/EIN Number | 84-3927591 |
| Address: | 15801 S. BELL ROAD, HOMER GLEN, IL, 60491 |
| Mail Address: | 15801 S. BELL ROAD, HOMER GLEN, IL, 60491 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912545229 | 2019-12-17 | 2019-12-17 | PO BOX 3134, JOLIET, IL, 604343134, US | 4218 W LINEBAUGH AVE, TAMPA, FL, 336245241, US | |||||||||||||||
|
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| Phone | +1 815-714-7171 |
| Phone | +1 813-461-5700 |
Authorized person
| Name | MORUFU OLATUNJI ALAUSA |
| Role | CHIEF 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 | 15801 S. BELL RD, HOMER GLEN, IL, 60491 |
| 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 |
| Florida Limited Liability | 2019-12-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
