| Entity Name: | LONECOVE DIALYSIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Sep 2022 (2 years ago) |
| Document Number: | M22000013965 |
| FEI/EIN Number | 92-0302597 |
| 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518705524 | 2024-07-16 | 2024-07-16 | 5200 VIRGINIA WAY, BRENTWOOD, TN, 370277569, US | 1560 WELLS RD STE 105, ORANGE PARK, FL, 320736780, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 615-320-4283 |
| Fax | 8003203933 |
| Phone | +1 904-510-0778 |
| Fax | 9048097750 |
Authorized person
| Name | SAMUEL WEY |
| Role | VP, LICENSURE AND CERTIFICATION |
| Phone | 6153416691 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| TOTAL RENAL CARE, INC. | Auth | No data |
| RAMA REDDY PLLC | Auth | No data |
| JAGAN KOTHAPALLY PLLC | Auth | No data |
| JAYNIN ENTERPRISES, LLC | Auth | No data |
| Caldwell Samantha A | Auth | 2000 16th Street, Denver, CO, 80202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000085032 | CITRUS GROVE DIALYSIS | ACTIVE | 2024-07-16 | 2029-12-31 | No data | 1560 WELLS RD., STE 105, ATTN: JLD/SECGOVFIN., ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 2000 16th Street, JLD/SecGovFin., Denver, CO 80202 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 2000 16th Street, JLD/SecGovFin., Denver, CO 80202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-14 |
| Foreign Limited | 2022-09-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
