| Entity Name: | RAI CARE CENTERS OF MERRITT ISLAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Dec 2007 (17 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 31 Jan 2008 (17 years ago) |
| Document Number: | M07000007507 |
| FEI/EIN Number | 261475112 |
| Mail Address: | 920 WINTER STREET, WALTHAM, MA, 02451, US |
| Address: | 920 Winter St., WALTHAM, MA, 02451, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528242849 | 2007-12-21 | 2023-10-17 | 245 S COURTENAY PKWY STE A, MERRITT ISLAND, FL, 329524831, US | 245 S COURTENAY PKWY STE A, MERRITT ISLAND, FL, 329524831, US | |||||||||||||||||||||
|
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| Phone | +1 321-452-0020 |
| Fax | 3214534366 |
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 | 000977400 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| RAI CARE CENTERS OF FLORIDA II, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000147298 | RAI - S COURTENAY - MERRITT ISLAND | ACTIVE | 2020-11-17 | 2025-12-31 | No data | 245 S COURTENAY PKWY, STE A, MERRITT ISLAND, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-09 | 920 Winter St., WALTHAM, MA 02451 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-24 | 920 Winter St., WALTHAM, MA 02451 | No data |
| LC NAME CHANGE | 2008-01-31 | RAI CARE CENTERS OF MERRITT ISLAND, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-07-22 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
