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MAGIC VALLEY REHABILITATION SERVICES, INC.

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Company Details

Name: MAGIC VALLEY REHABILITATION SERVICES, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 27 Mar 1973 (52 years ago)
Financial Date End: 31 Mar 2020
Date dissolved: 04 Jun 2020
Entity Number: 153319
Place of Formation: IDAHO
File Number: 153319
Mailing Address: PO BOX 189 TWIN FALLS, ID 83303-0189

Agent

Name Role Address
CHARLES KELLY Agent 484 EASTLAND DR. SOUTH, TWIN FALLS, ID 83301

Unique Entity ID

CAGE Code:
8T724
UEI Expiration Date:
2018-05-18

Business Information

Activation Date:
2017-05-18
Initial Registration Date:
2002-04-09

Commercial and government entity program

CAGE number:
8T724
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-05-19
CAGE Expiration:
2022-05-18

Contact Information

POC:
JOHN BODDEN

National Provider Identifier

NPI Number:
1093794703

Authorized Person:

Name:
MR. JEFFREY CHARLES CRUMRINE
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
No
Selected Taxonomy:
283Q00000X - Psychiatric Hospital
Is Primary:
No

Contacts:

Fax:
2087341514

Form 5500 Series

Employer Identification Number (EIN):
820306179
Plan Year:
2015
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
36
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003898080 2020-06-04
Annual Report 0003474276 2019-04-09
Change of Registered Office/Agent/Both (by Entity) 0001517787 2018-05-11
Annual Report 0001517786 2018-04-24
Annual Report 0001517785 2017-01-25

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Date of last update: 28 Aug 2025

Sources: Idaho Secretary of State