| Entity Name: | RAI CARE CENTERS OF FLORIDA II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Aug 2005 (19 years ago) |
| Document Number: | M05000004504 |
| FEI/EIN Number | 20-3276388 |
| Address: | 920 Winter St., Waltham, MA 02451 |
| Mail Address: | 920 Winter St., Waltham, MA 02451 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811099914 | 2006-09-01 | 2023-10-17 | 1200 E LAKE SILVER DR NE, WINTER HAVEN, FL, 338814100, US | 1200 E LAKE SILVER DR NE, WINTER HAVEN, FL, 338814100, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 863-299-0007 |
| Fax | 8632990022 |
Authorized person
| Name | BARRY L. BLANTON |
| Role | VICE PRESIDENT |
| Phone | 7816999000 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 891161400 |
| State | FL |
| Issuer | BCBS |
| Number | V4N |
| State | FL |
| Issuer | AETNA |
| Number | 7916943 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| RAI Care Centers Holdings II, LLC | Member | 920 Winter St., Waltham, MA 02451 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000006687 | FRESENIUS MEDICAL CARE WINTER HAVEN | EXPIRED | 2016-01-19 | 2021-12-31 | No data | 920 WINTER ST., WALTHAM, MA, 02451 |
| G16000006691 | FRESENIUS MEDICAL CARE LAKE WALES | EXPIRED | 2016-01-19 | 2021-12-31 | No data | 920 WINTER ST., WALTHAM, MA, 02451 |
| G15000124077 | FRESEMIUS MEDICAL CARE HANIES CITY DIALYSIS | EXPIRED | 2015-12-09 | 2020-12-31 | No data | 920 WINTER ST., WALTHAM, MA, 02451 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-04 | 920 Winter St., Waltham, MA 02451 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-04 | 920 Winter St., Waltham, MA 02451 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
