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 | |||||||||||||||||||||
|
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