| Entity Name: | DVA HEALTHCARE OF NORWICH, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 28 Jun 1999 |
| Business ALEI: | 0624475 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621492 - Kidney Dialysis Centers |
| Business address: | JLD/SECGOVFIN 2000 16TH STREET, DENVER, CO, 80202, United States |
| Mailing address: | JLD/SECGOVFIN 601 HAWAII STREET, EL SEGUNDO, CA, United States, 90245 |
| Mailing jurisdiction address: | 2908 POSTON AVENUE, NASHVILLE, TN, 37203, |
| Office jurisdiction address: | 2908 POSTON AVENUE, NASHVILLE, TN, 37203, United States |
| Place of Formation: | TENNESSEE |
| E-Mail: | Compliancemail@cscinfo.com |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5UEQ8 | Active | Non-Manufacturer | 2009-12-31 | 2024-03-29 | 2029-03-29 | 2025-03-27 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| POC | DONNA BRAWLEY |
| Phone | +1 253-382-1493 |
| Fax | +1 888-577-9570 |
| Address | 113 SALEM TPKE STE 4, NORWICH, CT, 06360 6484, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2024-03-29 |
| CAGE number | 45JM2 |
| Company Name | DAVITA INC. |
| CAGE Last Updated | 2024-03-29 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address |
|---|---|---|
| CONNCARE, INC. | Officer | JLD/SECGOVFIN, 2000 16TH STREET, DENVER, CO, 80202, United States |
| DVA RENAL HEALTHCARE, INC. | Officer | JLD/SECGOVFIN, 2000 16TH STREET, DENVER, CO, 80202, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| HEMO.0000257 | Hemodialysis | INACTIVE | No data | 2005-10-01 | 2005-10-01 | 2007-09-30 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | GAMBRO HEALTHCARE OF NORWICH, LLC | DVA HEALTHCARE OF NORWICH, LLC | 2005-10-11 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012352178 | 2024-02-10 | No data | Annual Report | Annual Report | No data |
| BF-0011152538 | 2023-03-10 | No data | Annual Report | Annual Report | No data |
| BF-0010255070 | 2022-03-28 | No data | Annual Report | Annual Report | 2022 |
| BF-0010472203 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007217811 | 2021-03-10 | No data | Annual Report | Annual Report | 2021 |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006769167 | 2020-02-21 | No data | Annual Report | Annual Report | 2020 |
| 0006439172 | 2019-03-09 | No data | Annual Report | Annual Report | 2019 |
| 0006055524 | 2018-02-05 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
