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SAINT ALPHONSUS HOME HEALTH AND HOSPICE, LLC

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Company Details

Name: SAINT ALPHONSUS HOME HEALTH AND HOSPICE, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 03 Mar 2006 (19 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 156237
Place of Formation: DELAWARE
File Number: 156237
ZIP code: 83709
County: Ada County
Principal Address: 9199 W. BLACK EAGLE DRIVE BOISE, ID 83709
Mailing Address: 9199 W BLACK EAGLE DR BOISE, ID 83709-1572

Agent

Name Role Address
UNITED AGENT GROUP INC. Agent 950 W BANNOCK ST #1100, BOISE, ID 83702

Member

Name Role Address Appointed On Resigned On
EH Health Ventures Boise, LLC Member 6688 N. CENTRAL EXPRESSWAY, DALLAS, TX 75206 2022-02-03 No data
Saint Alphonsus Regional Medical Cener, Inc. Member 1055 N. CURTIS ROAD, BOISE, ID 83706 2024-03-08 2024-03-08

Manager

Name Role Address Appointed On Resigned On
George j Mandes Manager 64836 NEARLY LEVEL RD, HOMER, AK 99603 2021-02-03 2022-02-03

Governor

Name Role Address Appointed On
EH Health Ventures Boise, LLC Governor 6688 N. CENTRAL EXPRESSWAY, DALLAS, TX 75206 2022-02-02

National Provider Identifier

NPI Number:
1518911890
Certification Date:
2025-03-10

Authorized Person:

Name:
JULIE DIANE JOLLEY
Role:
EVP OF HOME HEALTH OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
2142396500
Fax:
2085067755

Filing

Filing Name Filing Number Filing date
Annual Report 0006160262 2025-03-14
Annual Report 0005641247 2024-03-08
Change of Registered Office/Agent/Both (by Entity) 0005286991 2023-06-17
Annual Report 0005172769 2023-03-31
Registered Agent Name/Address Change (mass change) 0004894159 2022-09-12

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Date of last update: 16 Jul 2025

Sources: Idaho Secretary of State