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OPTUM INFUSION SERVICES 204, INC. - Florida Company Profile

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Company Details

Entity Name: OPTUM INFUSION SERVICES 204, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Oct 2002 (23 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Sep 2020 (5 years ago)
Document Number: P02000113258
FEI/EIN Number 55-0802774
Address: 15529 College Blvd., Lenexa, KS, 66219-1351, US
Mail Address: 15529 College Blvd., Lenexa, KS, 66219-1351, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
000-533-341
State:
ALABAMA

Key Officers & Management

Name Role Address
Satterwhite Erin A President 15529 College Blvd., Lenexa, KS, 662191351
Carey Kathryn E Director 15529 College Blvd., Lenexa, KS, 662191351
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
Lang Heather A Assi 15529 College Blvd., Lenexa, KS, 662191351
Satterwhite Erin A Director 15529 College Blvd., Lenexa, KS, 662191351
Satterwhite Erin A Chief Executive Officer 15529 College Blvd., Lenexa, KS, 662191351
Burr Kevin A Secretary 15529 College Blvd., Lenexa, KS, 662191351

Commercial and government entity program

CAGE number:
9HLW1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-02
CAGE Expiration:
2029-03-01

Contact Information

POC:
RAY MCCASLIN

Highest Level Owner

Vendor Certified:
2024-03-01
CAGE number:
02XQ3
Company Name:
UNITEDHEALTH GROUP INCORPORATED

Immediate Level Owner

Vendor Certified:
2024-03-01
CAGE number:
7ARH7
Company Name:
OPTUM, INC.

National Provider Identifier

NPI Number:
1982795209
Certification Date:
2024-12-04

Authorized Person:

Name:
KEVIN EUGENE BURR
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336H0001X - Home Infusion Therapy Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8448159880

Events

Event Type Filed Date Value Description
AMENDMENT 2020-09-16 - -
CHANGE OF PRINCIPAL ADDRESS 2020-05-20 15529 College Blvd., Lenexa, KS 66219-1351 -
CHANGE OF MAILING ADDRESS 2020-05-20 15529 College Blvd., Lenexa, KS 66219-1351 -
NAME CHANGE AMENDMENT 2020-04-02 OPTUM INFUSION SERVICES 204, INC. -
AMENDMENT AND NAME CHANGE 2017-08-17 BRIOVARX INFUSION SERVICES 204, INC. -
REGISTERED AGENT ADDRESS CHANGED 2016-05-16 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
REGISTERED AGENT NAME CHANGED 2016-05-16 CT CORPORATION SYSTEM -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-01
AMENDED ANNUAL REPORT 2024-07-09
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-24
Amendment 2020-09-16
ANNUAL REPORT 2020-05-20
Name Change 2020-04-02
ANNUAL REPORT 2019-03-23

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Date of last update: 03 Aug 2025

Sources: Florida Department of State