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SAFEHARBOR DIALYSIS, LLC - Florida Company Profile

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Company Details

Entity Name: SAFEHARBOR DIALYSIS, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2009 (16 years ago)
Document Number: M09000000971
FEI/EIN Number 264180102
Mail Address: 601 Hawaii Street, El Segundo, CA, 90245, US
Address: 2000 16th Street, Denver, CO, 80202, US
Place of Formation: DELAWARE

Key Officers & Management

Role
Manager
Member
Agent

Commercial and government entity program

CAGE number:
5X2N9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-02
CAGE Expiration:
2030-06-02
SAM Expiration:
2026-05-29

Contact Information

POC:
RYAN SPECK

Immediate Level Owner

Vendor Certified:
2025-06-02
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1063657088
Certification Date:
2024-07-16

Authorized Person:

Name:
SAMUEL T. WEY
Role:
VP LICENSURE & CERTIFICATION
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8132473129

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000112497 EAST TAMPA DIALYSIS ACTIVE 2015-11-04 2025-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN, EL SEGUNDO, CA, 90245
G09000146277 EAST TAMPA DIALYSIS EXPIRED 2009-08-13 2014-12-31 - 1701 E. 9TH AVENUE, YBOR CITY, FL, 33605

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-21 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -
CHANGE OF MAILING ADDRESS 2024-04-21 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-28

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Date of last update: 01 Aug 2025

Sources: Florida Department of State