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CLEWISTON DIALYSIS CENTER, LLC - Florida Company Profile

Company Details

Entity Name: CLEWISTON DIALYSIS CENTER, 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: 16 Dec 2014 (10 years ago)
Document Number: M14000008992
FEI/EIN Number 47-2480014

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 500 CUMMINGS CENTER, BEVERLY, MA, 01915, US
Mail Address: 851 West Ventura Avenue, Clewiston, FL, 33440, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144628017 2014-12-09 2023-01-13 851 W VENTURA AVE, CLEWISTON, FL, 334403409, US 851 W VENTURA AVE, CLEWISTON, FL, 334403409, US

Contacts
Phone +1 863-983-8855
Fax 8639835216

Authorized person
Name SARA ANNE BRADY
Role CHIEF NURSING OFFICER
Phone 2083717878

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

Other Provider Identifiers
Issuer MEDICAID
Number 014649900
State FL

Key Officers & Management

Name Role Address
Attmore George Manager 500 CUMMINGS CENTER, BEVERLY, MA, 01915
Kamal Syed T Manager 500 CUMMINGS CENTER, BEVERLY, MA, 01915
Abraham Mohan M.D. Manager 500 CUMMINGS CENTER, BEVERLY, MA, 01915
AMERICAN RENAL ASSOCIATES LLC Member -
ABRAHAM FAMILY ENTERPRISES, LLC Member -
ASHESH, LLC Member -
CORPORATION SERVICE COMPANY Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-21 500 CUMMINGS CENTER, Suite 6550, BEVERLY, MA 01915 -
CHANGE OF MAILING ADDRESS 2023-02-21 500 CUMMINGS CENTER, Suite 6550, BEVERLY, MA 01915 -
REGISTERED AGENT NAME CHANGED 2022-05-17 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2022-05-17 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-02-21
Reg. Agent Change 2022-05-17
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-04-17

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Kamal Syed T

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AMERICAN RENAL ASSOCIATES LLC

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BROWARD KIDNEY DIALYSIS CENTER, LLC - Inactive
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JACKSONVILLE ACUTE DIALYSIS SERVICES, LLC - Inactive
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ABRAHAM FAMILY ENTERPRISES, LLC

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ASHESH, LLC

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CORPORATION SERVICE COMPANY

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Companies related by address

500 CUMMINGS CENTER, BEVERLY, MA, 01915, US

BELLE GLADE DIALYSIS CENTER, LLC KIDNEY CENTER OF WESLEY CHAPEL, LLC AMERICAN RENAL HOLDINGS INC. BRADENTON DIALYSIS CENTER LLC AMERICAN SOCIETY FOR ARTIFICIAL INTERNAL ORGANS, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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