| Entity Name: | BRADENTON DIALYSIS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jul 2006 (19 years ago) |
| Document Number: | M06000003728 |
| FEI/EIN Number | 43-2106855 |
| Address: | 500 CUMMINGS CENTER, BEVERLY, MA, 01915, US |
| Mail Address: | 5837 West 21st Avenue, Tanglewood Professional Center, West Bradenton, FL, 34209, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174646558 | 2007-04-09 | 2023-01-10 | 5837 21ST AVE W, BRADENTON, FL, 342095641, US | 5837 21ST AVE W, BRADENTON, FL, 342095641, US | |||||||||||||||||||||
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| Phone | +1 941-792-7800 |
| Fax | 9417927822 |
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 | 892580100 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Mendez Nick | Manager | 1550 W. MCEWEN DR, FRANKLIN, TN, 37067 |
| Kamal Syed T | Manager | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Name | Role | Address |
|---|---|---|
| Palomino Celestino M.D. | Member | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Celaya Daniel | Member | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| AMERICAN RENAL ASSOCIATES LLC | Member | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-21 | 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA 01915 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-21 | 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA 01915 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-17 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-21 |
| Reg. Agent Change | 2022-05-17 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
