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DIALYSIS CENTER OF WESTERLY LLC

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Company Details

Name: DIALYSIS CENTER OF WESTERLY LLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 22 Jun 2005 (20 years ago)
Identification Number: 000148897
Place of Formation: DELAWARE
Purpose: ESTABLISHING, OWNING AND OPERATING ONE OR MORE OUTPATIENT RENAL DIALYSIS FACILITIES OR ANY OTHER BUSINESS PURPOSE PERMITTED BY LAW.
Principal Address: Google Maps Logo 500 CUMMINGS CENTER SUITE 6550, BEVERLY, MA, 01915, USA
Mailing Address: Google Maps Logo 1 RHODY DRIVE, WESTERLY, MA, 01915, USA

Contact Details

Phone +1 401-596-0368

Industry & Business Activity

NAICS

621492 Kidney Dialysis Centers

This U.S. industry comprises establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services. Learn more at the U.S. Census Bureau

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

MANAGER

Name Role Address
JOSEPH A. CHAZAN MANAGER 290 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA
SYED T. KAMAL MANAGER 17925 CACHET ISLE DRIVE TAMPA, FL 33647 USA
NICK MENDEZ MANAGER 290 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA

National Provider Identifier

NPI Number:
1588609234
Certification Date:
2023-01-10

Authorized Person:

Name:
SARA ANNE BRADY
Role:
CHIEF NURSING OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
4015969614

Licenses

License No License Type Status Date Issued Expiration Date
KDT00748 Kidney Disease Treat. Center Active 2024-01-04 2025-12-31

Filings

Number Name File Date
202451801650 Annual Report 2024-04-22
202334129370 Annual Report 2023-04-26
202217500740 Statement of Change of Registered/Resident Agent 2022-05-19
202214712470 Annual Report 2022-04-14
202103219280 Annual Report 2021-10-14

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Date of last update: 27 May 2025

Sources: Rhode Island Department of State