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MAUTINO DIALYSIS, LLC - Florida Company Profile

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Company Details

Entity Name: MAUTINO 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: 24 Apr 2014 (11 years ago)
Document Number: M14000002803
FEI/EIN Number 46-5559570

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2000 16th Street, JLD/SecGovFin., Denver, CO, 80202, US
Mail Address: 601 Hawaii Street, JLD/SecGovFin., El Segundo, CA, 90245, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Caldwell Samantha A Auth 2000 16th Street, Denver, CO, 80202
TOTAL RENAL CARE, INC. Manager -
WEST BOYNTON DIALYSIS VENTURES LLC Member -
CORPORATION SERVICE COMPANY Agent -

National Provider Identifier

NPI Number:
1255732202
Certification Date:
2025-04-11

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:
5617386190

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000097581 WEST BOYNTON DIALYSIS ACTIVE 2014-09-24 2029-12-31 - 10150 HAGEN RANCH ROAD, SUITE 101, BOYNTON BEACH, FL, 33437

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 2000 16th Street, JLD/SecGovFin., Denver, CO 80202 -
CHANGE OF MAILING ADDRESS 2024-04-19 2000 16th Street, JLD/SecGovFin., Denver, CO 80202 -

Documents

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

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Date of last update: 02 Jun 2025

Sources: Florida Department of State