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ALLIANCE HOME HEALTH OF IDAHO, LLC

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Company Details

Name: ALLIANCE HOME HEALTH OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 24 Apr 2006 (19 years ago)
Financial Date End: 30 Apr 2020
Date dissolved: 03 Mar 2020
Entity Number: 161419
Place of Formation: IDAHO
File Number: 161419
Principal Address: 925 W 200 E A6 LOGAN, UT 84321
Mailing Address: ALLIANCE HEALTHCARE STE A6 925 W 200 N LOGAN, UT 84321-2609

Agent

Name Role Address
TERESA DIXON Agent 19456 S YOXALL RD, DOWNEY, ID 83234

National Provider Identifier

NPI Number:
1467772897

Authorized Person:

Name:
JUSTIN LARSEN
Role:
OWNER/ PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
4357533542
Fax:
2087332542

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003795009 2020-03-03
Annual Report 0003501517 2019-05-02
Application for Reinstatement 0001554196 2018-08-21
Application for Reinstatement 0000760877 2018-08-06
Legacy Amendment 0001554195 2018-04-13

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Date of last update: 25 Jun 2025

Sources: Idaho Secretary of State