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INTEGRATIVE PALLIATIVE CARE, PLLC

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Company Details

Name: INTEGRATIVE PALLIATIVE CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Oct 2004 (21 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 113833
Place of Formation: IDAHO
File Number: 113833
ZIP code: 83702
County: Ada County
Principal Address: 1818 N 22ND ST BOISE, ID 83702
Mailing Address: KATHLEEN CLIFFORD 1818 N 22ND ST BOISE, ID 83702-0509

Agent

Name Role Address
Kathleen Clifford Agent 1818 N 22ND ST, BOISE, ID 83702

Manager

Name Role Address Appointed On Resigned On
Kevin A Clifford Manager 1818 N 22ND ST, BOISE, ID 83702 2020-09-09 2022-10-16
Grant M Trueblood Manager 1818 N 22ND ST, BOISE, ID 83702 2023-09-18 No data
Kathleen Clifford Manager 1818 N 22ND ST, BOISE, ID 83702 2022-10-16 No data

National Provider Identifier

NPI Number:
1801345467

Authorized Person:

Name:
DR. KEVIN ARTHUR CLIFFORD
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005922453 2024-10-03
Annual Report 0005404748 2023-09-18
Annual Report 0004954141 2022-10-16
Change of Registered Office/Agent/Both (by Entity) 0004756605 2022-05-25
Amendment to Certificate 0004756611 2022-05-24

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Date of last update: 15 Jul 2025

Sources: Idaho Secretary of State