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CADDO DIALYSIS, LLC

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Company Details

Name: CADDO DIALYSIS, LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Aug 2011 (14 years ago)
Authority Date: 09 Aug 2011 (14 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Organization Number: 0797669
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 2000 16TH STREET, DENVER, CO 80202
Place of Formation: DELAWARE

Member

Name Role
Total Renal Care, Inc. Member
Mast Enterprise LLC Member

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Commercial and government entity program

CAGE number:
5N8N5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-06-01
CAGE Expiration:
2028-01-17
SAM Expiration:
2024-01-13

Contact Information

POC:
DONNA BRAWLEY

Immediate Level Owner

Vendor Certified:
2023-01-17
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1558646935
Certification Date:
2022-08-31

Authorized Person:

Name:
JOHN D WINSTEL
Role:
CHIEF ACCOUNTING OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
8002468346
Fax:
5027328352

Assumed Names

Name Status Expiration Date
GENERAL BUTLER DIALYSIS Active 2026-06-16

Filings

Name File Date
Annual Report 2024-06-28
Principal Office Address Change 2023-06-05
Annual Report 2023-06-05
Annual Report 2022-06-03
Principal Office Address Change 2022-06-03

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Sources: Kentucky Secretary of State