| Entity Name: | SUNAPEE DIALYSIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jul 2015 (10 years ago) |
| Document Number: | M15000005948 |
| FEI/EIN Number | 47-4711738 |
| Address: | 2000 16th Street, Denver, CO, 80202, US |
| Mail Address: | 2000 16th Street, El Segundo, CA, 90245, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063880854 | 2015-09-10 | 2022-05-17 | 5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN, 370277569, US | 4750 OLD CANOE CREEK RD, SAINT CLOUD, FL, 347691430, US | |||||||||||||||||||||||||
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| Phone | +1 615-320-4593 |
| Fax | 8002935872 |
| Phone | +1 407-498-0018 |
| Fax | 4074980881 |
Authorized person
| Name | JOHN D WINSTEL |
| Role | CHIEF ACCOUNTING OFFICER |
| Phone | 2537334501 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022055400 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| TOTAL RENAL CARE, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000124981 | CELEBRATION DIALYSIS | ACTIVE | 2016-11-18 | 2026-12-31 | No data | 1154 CELEBRATION BLVD, ATTN: JLD/SECGOVFIN., KISSIMMEE, FL, 34747 |
| G16000124980 | ST. CLOUD DIALYSIS | ACTIVE | 2016-11-18 | 2026-12-31 | No data | 4750 OLD CANOE CREEK RD., ATTN: JLD/SECGOVFIN., SAINT CLOUD, FL, 34769 |
| G16000057599 | KISSIMMEE DIALYSIS | ACTIVE | 2016-06-10 | 2026-12-31 | No data | 802 N. JOHN YOUNG PARKWAY, ATTN: JLD/SECGOVFIN., KISSIMMEE, FL, 34741 |
| G16000050113 | HUNTERS CREEK DIALYSIS | ACTIVE | 2016-05-18 | 2026-12-31 | No data | 14050 TOWN LOOP BLVD., 104A ATTN: JLD/SECGOVFIN., ORLANDO, FL, 90245 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-14 | 2000 16th Street, Denver, CO 80202 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-14 | 2000 16th Street, Denver, CO 80202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-27 |
| Foreign Limited | 2015-07-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
