| Entity Name: | WALLINGFORD DIALYSIS CARE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Date Formed: | 31 Dec 2014 (Companies founded in December 2014) |
| Business ALEI: | 1164937 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621492 - Kidney Dialysis Centers |
| Business address: | 500 Cummings Ctr Ste 6550, Beverly, MA, 01876, United States |
| Mailing address: | 720 N. MAIN STREET EXT. SUITES 1, 2 & 3, WALLINGFORD, CT, United States, 06492 |
| Place of Formation: | DELAWARE |
| E-Mail: | CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Nick Mendez | Officer | 1550 W. MCEWEN DR SUITE 600, FRANKLIN, TN, 37067, United States | 1550 W. MCEWEN DR., SUITE 600, FRANKLIN, TN, 37067, United States |
| CONNECTICUT RENAL ASSOCIATES, LLC | Officer | 500 Cummings Ctr Ste 6550, Beverly, MA, 01876, United States | No data |
| Mohammad A.A. Sharif, M.D. | Officer | No data | 500 Cummings Ctr Ste 6550, Beverly, MA, 01876, United States |
| Irfan S. Chughtai, M.D. | Officer | No data | 500 Cummings Ctr Ste 6550, Beverly, MA, 01876, United States |
| AMERICAN RENAL ASSOCIATES LLC | Officer | 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA, 01915, United States | No data |
| Syed T. Kamal | Officer | No data | 500 Cummings Ctr Ste 6550, Beverly, MA, 01876, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| HEMO.0000326 | Hemodialysis | ACTIVE | CURRENT | 2015-12-24 | 2023-10-01 | 2025-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012416482 | 2024-02-01 | No data | Annual Report | Annual Report | No data |
| BF-0011208616 | 2023-03-17 | No data | Annual Report | Annual Report | No data |
| BF-0010600630 | 2022-05-19 | 2022-05-19 | Change of Agent | Agent Change | No data |
| BF-0010286860 | 2022-02-03 | No data | Annual Report | Annual Report | 2022 |
| 0007190862 | 2021-02-26 | No data | Annual Report | Annual Report | 2021 |
| 0006762607 | 2020-02-19 | No data | Annual Report | Annual Report | 2020 |
| 0006351687 | 2019-01-31 | No data | Annual Report | Annual Report | 2019 |
| 0006093791 | 2018-02-23 | No data | Annual Report | Annual Report | 2018 |
| 0005967228 | 2017-11-16 | No data | Annual Report | Annual Report | 2017 |
| 0005698861 | 2016-11-17 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
