| Entity Name: | SUNSHINE KIDNEY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Mar 2021 (4 years ago) |
| Document Number: | L21000146230 |
| FEI/EIN Number | 86-3142529 |
| Mail Address: | 13900 County Road 455, Clermont, FL, 34711, US |
| Address: | 1400 US Highway 441, Sharon Morse Medical Office Building, The Villages, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639759202 | 2021-04-08 | 2021-06-10 | 13900 COUNTY ROAD 455, UNIT 107 #402, CLERMONT, FL, 347119052, US | 1400 N US HIGHWAY 441 STE 522, THE VILLAGES, FL, 321598983, US | |||||||||||||||
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| Phone | +1 352-388-5800 |
| Fax | 3523887001 |
Authorized person
| Name | JOHN S. HAYES |
| Role | OWNER |
| Phone | 3523885800 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUNSHINE KIDNEY CARE RETIREMENT PLAN | 2023 | 863142529 | 2024-07-25 | SUNSHINE KIDNEY CARE LLC | 8 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-25 |
| Name of individual signing | KRISTINA HILL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523885800 |
| Plan sponsor’s address | 1400 US HIGHWAY 441, SUITE 522, THE VILLAGES, FL, 32159 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-16 |
| Name of individual signing | CAMILLE HAYES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HAYES JOHN SM.D. | Agent | 2305 POLO RD., MINNEOLA, FL, 34715 |
| Name | Role | Address |
|---|---|---|
| HAYES JOHN SM.D. | Authorized Member | 2305 POLO HILL RD., MINNEOLA, FL, 34715 |
| CALLISTE INGRID M.D. | Authorized Member | 194 HYDRA WAY, GROVELAND, FL, 34736 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 1400 US Highway 441, Sharon Morse Medical Office Building, Suite 522, The Villages, FL 32159 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-22 | 1400 US Highway 441, Sharon Morse Medical Office Building, Suite 522, The Villages, FL 32159 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-03-10 |
| Florida Limited Liability | 2021-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
