| Entity Name: | ADVANCED DIALYSIS INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ADVANCED DIALYSIS INSTITUTE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 06 Oct 1992 (32 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2016 (8 years ago) |
| Document Number: | V68839 |
| FEI/EIN Number |
650376279
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7150 W 20 AVE, SUITE 602, HIALEAH, FL, 33016, US |
| Mail Address: | 8990 Old Cutler Road, Miami, FL, 33156, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114953882 | 2006-06-24 | 2011-10-27 | 7150 W 20TH AVE, SUITE 109, HIALEAH, FL, 330165529, US | 7150 W 20TH AVE, SUITE 109, HIALEAH, FL, 330165529, US | |||||||||||||||||||||||
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| Phone | +1 305-827-8399 |
| Fax | 3058271204 |
Authorized person
| Name | MRS. MIRYAM S MATHEWS |
| Role | ADMINISTRATOR / DON |
| Phone | 3058278399 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 211029600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED DIALYSIS INSTITUTE, INC. PROFIT SHARING PLAN | 2012 | 650376279 | 2013-07-08 | ADVANCED DIALYSIS INSTITUTE, INC. | 14 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-07-08 |
| Name of individual signing | MARIE CAPOTE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621492 |
| Sponsor’s telephone number | 3058278399 |
| Plan sponsor’s address | 7150 WEST 20TH AVENUE, SUITE 109, HIALEAH, FL, 33016 |
Plan administrator’s name and address
| Administrator’s EIN | 650376279 |
| Plan administrator’s name | ADVANCED DIALYSIS INSTITUTE, INC. |
| Plan administrator’s address | 7150 WEST 20TH AVENUE, SUITE 109, HIALEAH, FL, 33016 |
| Administrator’s telephone number | 3058278399 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-11 |
| Name of individual signing | MARIE CAPOTE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621492 |
| Sponsor’s telephone number | 3058278399 |
| Plan sponsor’s address | 7150 WEST 20TH AVENUE, SUITE 109, HIALEAH, FL, 33016 |
Plan administrator’s name and address
| Administrator’s EIN | 650376279 |
| Plan administrator’s name | ADVANCED DIALYSIS INSTITUTE, INC. |
| Plan administrator’s address | 7150 WEST 20TH AVENUE, SUITE 109, HIALEAH, FL, 33016 |
| Administrator’s telephone number | 3058278399 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-05 |
| Name of individual signing | MITCHELL FREIBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621492 |
| Sponsor’s telephone number | 3058278399 |
| Plan sponsor’s address | 7150 WEST 20TH AVENUE, SUITE 109, HIALEAH, FL, 33016 |
Plan administrator’s name and address
| Administrator’s EIN | 650376279 |
| Plan administrator’s name | ADVANCED DIALYSIS INSTITUTE, INC. |
| Plan administrator’s address | 7150 WEST 20TH AVENUE, SUITE 109, HIALEAH, FL, 33016 |
| Administrator’s telephone number | 3058278399 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-24 |
| Name of individual signing | MITCHELL FREIBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ-BOMBINO JULIO | Director | 7100 W. 20TH AVE. SUITE 304, HIALEAH, FL, 33016 |
| Fernandez-Bombino Julio Dr. | Agent | 8990 Old Cutler Road, Miami, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-05 | 7150 W 20 AVE, SUITE 602, HIALEAH, FL 33016 | - |
| REINSTATEMENT | 2016-10-21 | - | - |
| CHANGE OF MAILING ADDRESS | 2016-10-21 | 7150 W 20 AVE, SUITE 602, HIALEAH, FL 33016 | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-21 | Fernandez-Bombino, Julio, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-21 | 8990 Old Cutler Road, Miami, FL 33156 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-06-21 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-05 |
| REINSTATEMENT | 2016-10-21 |
| ANNUAL REPORT | 2013-03-29 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
