| Name: | Renal Treatment Centers-Southeast, LP |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Partnership |
| Status: | Exists |
| Date of registration: | 21 Dec 2001 (23 years ago) |
| Entity Number: | 000-817-050 |
| Register Number: | 000817050 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 2000 16th StreetAttn JLD/SecGovFinDenver, CO 80202 |
| Principal Mailing Address: | 601 Hawaii StreetAttn JLD/SecGovFinEl Segundo, CA 90245 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689176711 | 2018-03-05 | 2023-08-22 | 5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN, 370277569, US | 1510 EASTERN BLVD, MONTGOMERY, AL, 361171629, US | |||||||||||||||||||||||||
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| Phone | +1 615-320-4268 |
| Fax | 8772380567 |
| Phone | +1 334-260-8519 |
| Fax | 3342608371 |
Authorized person
| Name | SAMUEL T WEY |
| Role | SR DIRECTOR LICENSURE&CERTIFICATION |
| Phone | 6153416641 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 226213 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7K0U8 | Active | Non-Manufacturer | 2016-03-11 | 2023-04-02 | 2027-03-07 | 2023-04-02 | |||||||||||||||||||||||
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| POC | DONNA BRAWLEY |
| Phone | +1 253-382-1493 |
| Fax | +1 888-577-9570 |
| Address | 5406 HIGHWAY 280 STE D107, BIRMINGHAM, AL, 35242 6597, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2022-03-07 |
| CAGE number | 45JM2 |
| Company Name | DAVITA INC. |
| CAGE Last Updated | 2024-03-29 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role |
|---|---|
| RENAL TREATMENT CENTERS INC | General Partner |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
