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JUPITER KIDNEY CENTER LLC - Florida Company Profile

Company Details

Entity Name: JUPITER KIDNEY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
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: 26 Apr 2005 (20 years ago)
Document Number: M05000002286
FEI/EIN Number 01-0833136

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 500 Cummings Center, Suite 6550, Beverly, MA, 01915, US
Mail Address: 1701 Military Trail, Suite 140, Jupiter, FL, 33458, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790717791 2006-07-07 2023-01-10 1701 MILITARY TRL, SUITE 140, JUPITER, FL, 334586330, US 1701 MILITARY TRL, SUITE 140, JUPITER, FL, 334586330, US

Contacts

Phone +1 561-744-4661
Fax 5617439846

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 891220300
State FL

Key Officers & Management

Name Role Address
Kamal Syed T Manager 500 Cummings Center, Beverly, MA, 01915
Rappaport Kenneth DO Manager 500 Cummings Center, Beverly, MA, 01915
Puri Jaideep MD Member 500 Cummings Center, Beverly, MA, 01915
Mendez Nick Manager 500 Cummings Center, Beverly, MA, 01915
DIALYSIS SERVICES, INC. Member -
CORPORATION SERVICE COMPANY Agent -
JKC Holding LLC Member 500 Cummings Center, Beverly, MA, 01915

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-23 500 Cummings Center, Suite 6550, Beverly, MA 01915 -
CHANGE OF MAILING ADDRESS 2023-02-20 500 Cummings Center, Suite 6550, Beverly, MA 01915 -
REGISTERED AGENT NAME CHANGED 2022-05-17 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2022-05-17 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-20
Reg. Agent Change 2022-05-17
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State