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MIAMI REGIONAL DIALYSIS CENTER WEST, LLC - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Events

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 -

Documents

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