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 |
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 | |||||||||||||||||||||
|
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 |
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 |
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 | - |
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