| Entity Name: | MIAMI REGIONAL DIALYSIS CENTER WEST, 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: | 27 May 2010 (15 years ago) |
| Document Number: | M10000002400 |
| FEI/EIN Number |
27-2538823
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Mail Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467762146 | 2010-10-15 | 2023-10-23 | 900 PARK CENTRE BLVD STE 400C, MIAMI, FL, 331695371, US | 900 PARK CENTRE BLVD STE 400C, MIAMI, FL, 331695371, US | |||||||||||||||||||||
|
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| Phone | +1 305-625-7125 |
| Fax | 3056255180 |
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 | 004332500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| Goldsand Carl S. | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Pena Carlos F. | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Rodriguez Nilda | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Rice Richard | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Brentar Ginnie | Manager | 920 Winter Street, Waltham, MA, 02451 |
| Mello Bryan | Auth | 920 Winter Street, Waltham, MA, 02451 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-31 | 920 Winter Street, Waltham, MA 02451 | - |
| CHANGE OF MAILING ADDRESS | 2025-01-31 | 920 Winter Street, Waltham, MA 02451 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-05 | 920 Winter Street, Waltham, MA 02451 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-05 | 920 Winter Street, Waltham, MA 02451 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-05-05 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-12 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
