| Entity Name: | CONVIVA CARE SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Dec 2017 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Aug 2022 (2 years ago) |
| Document Number: | M17000010306 |
| FEI/EIN Number | 36-4880828 |
| Address: | 500 West Main Street, Louisville, KY 40202 |
| Mail Address: | 500 West Main Street, Louisville, KY 40202 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255827176 | 2018-07-03 | 2018-07-03 | 4960 SW 72ND AVE STE 406, MIAMI, FL, 331555506, US | 4960 SW 72ND AVE STE 406, MIAMI, FL, 331555506, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 305-662-5200 |
| Fax | 7865159653 |
Authorized person
| Name | MR. KEVIN R MERIWETHER |
| Role | PRESIDENT |
| Phone | 3056625200 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Adkins, Matt | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Lindsay-Jones, Richard | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Ruschell, Joseph Matthew | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Pabo, Erika | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Morrell, Joshua | Vice President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Adkins, Matt | Integration | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Adkins, Matt | Transformation | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Garg, Vivek, M.D. | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Greenfield-LaTour, Cheri | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Edwards, Douglas Allen | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Meriwether, Kevin | Senior Vice President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Garg, Vivek, M.D. | Chief Medical Officer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Garg, Vivek, M.D. | Care Delivery | 500 West Main Street, Louisville, KY 40202 |
| Greenfield-LaTour, Cheri | Care Delivery | 500 West Main Street, Louisville, KY 40202 |
| Meriwether, Kevin | Care Delivery | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Greenfield-LaTour, Cheri | Division President | 500 West Main Street, Louisville, KY 40202 |
| Meriwether, Kevin | Division President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Lindsay-Jones, Richard | Chief Financial Officer | 500 West Main Street, Louisville, KY 40202 |
| Diamond, Susan Marie | Chief Financial Officer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Lindsay-Jones, Richard | Primary Care Organization | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Ruschell, Joseph Matthew | Associate General Counsel and Corporate Secretary | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Diamond, Susan Marie | Manager | 500 West Main Street, Louisville, KY 40202 |
| Buckingham, Renee Jacqueline | Manager | 500 West Main Street, Louisville, KY 40202 |
| Ruschell, Joseph Matthew | Manager | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Feld, Daniel Kevin | Associate VP | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Feld, Daniel Kevin | Tax | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Enterprise Associate | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Edwards, Douglas Allen | Business Solutions | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Marcoux, Robert Martin, Jr. | Vice President and Treasurer | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Buckingham, Renee Jacqueline | President | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Pabo, Erika | Primary Care Transformation | 500 West Main Street, Louisville, KY 40202 |
| Name | Role | Address |
|---|---|---|
| Morrell, Joshua | Population Health Analytics and Utilization Management Services | 500 West Main Street, Louisville, KY 40202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000090579 | CONVIVA PRIMARY CARE ANYWHERE | ACTIVE | 2023-08-03 | 2028-12-31 | No data | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-11 | 500 West Main Street, Louisville, KY 40202 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-11 | 500 West Main Street, Louisville, KY 40202 | No data |
| LC STMNT OF RA/RO CHG | 2022-08-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-03 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-03 | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 | No data |
| LC NAME CHANGE | 2018-02-27 | CONVIVA CARE SOLUTIONS, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-24 |
| AMENDED ANNUAL REPORT | 2024-09-12 |
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-29 |
| CORLCRACHG | 2022-08-03 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-29 |
| AMENDED ANNUAL REPORT | 2019-07-31 |
| AMENDED ANNUAL REPORT | 2019-06-03 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
