Entity Name: | NATIONAL KIDNEY PARTNERS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
NATIONAL KIDNEY PARTNERS, 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: | 02 Feb 2021 (4 years ago) |
Document Number: | L21000034201 |
FEI/EIN Number |
59-3068073
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 14134 NEPHRON LANE, HUDSON, FL, 34467, US |
Mail Address: | 14134 NEPHRON LANE, HUDSON, FL, 34467, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780684795 | 2005-08-01 | 2024-04-24 | 14134 NEPHRON LANE, HUDSON, FL, 34667, US | 14134 NEPHRON LN, HUDSON, FL, 346676504, US | |||||||||||||||||||||||||
|
Phone | +1 727-266-1403 |
Fax | 7274976784 |
Phone | +1 727-863-5418 |
Fax | 7278698626 |
Authorized person
Name | SHAWN ERIC BARNETT |
Role | CREDENTIALING AND COMPLIANCE MGR |
Phone | 7278635418 |
Taxonomy
Taxonomy Code | 207RN0300X - Nephrology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD |
Number | 24654 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NATIONAL KIDNEY PARTNERS 401(K) PLAN | 2023 | 593068073 | 2024-09-13 | NATIONAL KIDNEY PARTNERS | 111 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-09-13 |
Name of individual signing | SHIRLEY HORNER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2000-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 4146413940 |
Plan sponsor’s address | 14134 NEPHRON LANE, HUDSON, FL, 34667 |
Signature of
Role | Plan administrator |
Date | 2024-10-14 |
Name of individual signing | VANESSA URREGO |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
Shetye Kedar MD | Manager | 14134 Nephron Lane, Hudson, FL, 34667 |
Paxton Lani KMD | Chief Executive Officer | 14134 Nephron Lane, Hudson, FL, 34667 |
Brucculeri Michael MD | Manager | 14134 NEPHRON LANE, HUDSON, FL, 34467 |
DiPaolo Marc MD | Comp | 14134 NEPHRON LANE, HUDSON, FL, 34467 |
Mowen Kyle | IT | 14134 NEPHRON LANE, HUDSON, FL, 34467 |
Mowen Kyle | Director | 14134 NEPHRON LANE, HUDSON, FL, 34467 |
Shetye Kedar M.D. | Agent | 14134 NEPHRON LANE, HUDSON, FL, 34467 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-07-31 | Shetye, Kedar, M.D. | - |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-07-31 |
ANNUAL REPORT | 2024-04-26 |
ANNUAL REPORT | 2023-09-01 |
ANNUAL REPORT | 2022-07-26 |
Florida Limited Liability | 2021-02-02 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State