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BOISE DIALYSIS PARTNERS II, LLC

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Company Details

Name: BOISE DIALYSIS PARTNERS II, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 19 Jul 2013 (12 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 390009
Place of Formation: DELAWARE
File Number: 390009
Principal Address: 920 WINTER ST WALTHAM, MA 2451
Mailing Address: 920 WINTER ST. WALTHAM, MA 02451

Member

Name Role Address Appointed On
Liberty Dialysis, LLC Member 920 WINTER ST, WALTHAM, MA 02451 2021-07-02

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
7G1V1
UEI Expiration Date:
2018-07-18

Business Information

Doing Business As:
LIBERTY DIALYSIS - BOISE
Division Name:
FRESENIUS MEDICAL CARE-NORTH AMERICA
Activation Date:
2017-07-18
Initial Registration Date:
2015-09-17

National Provider Identifier

NPI Number:
1427472141
Certification Date:
2023-10-14

Authorized Person:

Name:
BARRY L. BLANTON
Role:
VICE PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2083338324

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271885 2025-05-27
Annual Report 0005778074 2024-06-12
Annual Report 0005274950 2023-06-10
Registered Agent Name/Address Change (mass change) 0004894919 2022-09-12
Annual Report 0004774721 2022-06-07

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State