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HOLLYWOOD DIALYSIS, LLC - Florida Company Profile

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Company Details

Entity Name: HOLLYWOOD DIALYSIS, 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: 14 Nov 2012 (13 years ago)
Document Number: M12000006357
FEI/EIN Number 46-1383535

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

Key Officers & Management

Name Role Address
Cius Dinley Manager 920 Winter Street, Waltham, MA, 02451
Mello Bryan Assi 920 Winter Street, Waltham, MA, 02451
C T CORPORATION SYSTEM Agent -
Weiner Neil J Manager 920 Winter Street, Waltham, MA, 02451
Hashmi Syed 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

National Provider Identifier

NPI Number:
1558792960
Certification Date:
2023-10-23

Authorized Person:

Name:
BARRY L. BLANTON
Role:
VICE PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9549623200

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000122521 FRESENIUS KIDNEY CARE HOLLYWOOD-BOULEVARD ACTIVE 2022-09-29 2027-12-31 - 14000 HOLLYWOOD BLVD STE 175S, HOLLYWOOD, FL, 33021
G21000163249 FRESENIUS KIDNEY CARE HOLLYWOOD-BOULEVARD ACTIVE 2021-12-09 2026-12-31 - 4000 HOLLYWOOD BLVD,STE 175S, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-05 920 Winter Street, Waltham, MA 02451 -
CHANGE OF MAILING ADDRESS 2024-01-05 920 Winter Street, Waltham, MA 02451 -

Documents

Name Date
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-05-05
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-04-11

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Date of last update: 03 Jun 2025

Sources: Florida Department of State