| Entity Name: | GREATER WATERBURY DIALYSIS, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 22 Dec 1994 (Companies founded in December 1994) |
| Business ALEI: | 0508874 |
| Annual report due: | 31 Mar 2024 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 850 STRAITS TURNPIKE SUITE 102, MIDDLEBURY, CT, 06762, United States |
| Mailing address: | 850 STRAITS TURNPIKE, MIDDLEBURY, CT, United States, 06762 |
| ZIP code: | 06762 (Companies in New Haven, 06762) |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | sinaraissi@yahoo.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Sina Raissi | Agent | 850 STRAITS TURNPIKE SUITE 102, MIDDLEBURY, CT, 06762, United States | 850 STRAITS TURNPIKE SUITE 102, MIDDLEBURY, CT, 06762, United States | +1 203-758-1800 | sinaraissi@yahoo.com | 850 Straits Tpke, Suite 102, Middlebury, CT, 06762-2843, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SINA RAISSI M.D. | Officer | 850 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762, United States | 60 OLD QUARRY ROAD, 60 OLD QUARRY ROAD, WOODBRIDGE, CT, 06525, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| HEMO.0000250 | Hemodialysis | ACTIVE | CURRENT | 2010-04-01 | 2024-04-01 | 2026-03-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011253797 | 2023-05-09 | No data | Annual Report | Annual Report | No data |
| BF-0010228400 | 2022-03-04 | No data | Annual Report | Annual Report | 2022 |
| BF-0009885344 | 2021-12-01 | No data | Annual Report | Annual Report | No data |
| BF-0009488629 | 2021-11-30 | No data | Annual Report | Annual Report | 2020 |
| 0006445625 | 2019-03-11 | No data | Annual Report | Annual Report | 2019 |
| 0006445593 | 2019-03-11 | No data | Annual Report | Annual Report | 2018 |
| 0006032254 | 2018-01-25 | No data | Annual Report | Annual Report | 2017 |
| 0005708804 | 2016-11-30 | No data | Annual Report | Annual Report | 2016 |
| 0005507355 | 2016-03-08 | No data | Annual Report | Annual Report | 2015 |
| 0005223765 | 2014-11-21 | No data | Annual Report | Annual Report | 2014 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
