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WILLSTONE DIALYSIS, LLC - Florida Company Profile

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Company Details

Entity Name: WILLSTONE 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: 03 Apr 2023 (2 years ago)
Document Number: M23000004259
FEI/EIN Number 92-3277026

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

Address: 2000 16TH ST., JLD/SecGovFin., DENVER, CO, 80202, US
Mail Address: 601 HAWAII ST., JLD/SecGovFin., EL SEGUNDO, CA, 90245, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Caldwell Samantha A Auth 2000 16TH ST., DENVER, CO, 80202
CORPORATION SERVICE COMPANY Agent -
TOTAL RENAL CARE, INC. Manager -
VALRICO JVNV LLC Member -

National Provider Identifier

NPI Number:
1871342501
Certification Date:
2024-10-23

Authorized Person:

Name:
SAMUEL WEY
Role:
VP, LICENSURE AND CERTIFICATION
Phone:

Taxonomy:

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

Contacts:

Fax:
8003203933
Fax:
8633416287

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000085069 FISHHAWK DIALYSIS ACTIVE 2024-07-16 2029-12-31 - 16625 FISHHAWK BLVD., 16625 FISHHAWK BLVD., LITHIA, FL, 33547

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-18 2000 16TH ST., JLD/SecGovFin., DENVER, CO 80202 -
CHANGE OF MAILING ADDRESS 2024-04-18 2000 16TH ST., JLD/SecGovFin., DENVER, CO 80202 -

Documents

Name Date
ANNUAL REPORT 2024-04-18
Foreign Limited 2023-04-03

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Date of last update: 03 Jun 2025

Sources: Florida Department of State