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PRIMARY THERAPY SOURCE, LLC

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Company Details

Name: PRIMARY THERAPY SOURCE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Jan 2007 (18 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 185369
Place of Formation: IDAHO
File Number: 185369
ZIP code: 83301
County: Twin Falls County
Principal Address: 254 RIVER VISTA PLACE TWIN FALLS, ID 83301
Mailing Address: JAN YINGST 254 RIVER VISTA PL TWIN FALLS, ID 83301-3006

Agent

Name Role Address
JAN YINGST Agent 4135 N CREEKVIEW DR, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
Jan Yingst Manager 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2021-12-15
Jan Yingst PT Manager 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2020-12-04

Member

Name Role Address Appointed On Resigned On
Mandy Ovitt-Lee Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03
Jackie Dux-Price Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03
Teresa Prine Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03
Trish Howard Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03

National Provider Identifier

NPI Number:
1104672682
Certification Date:
2024-04-25

Authorized Person:

Name:
DEBORAH JAN YINGST
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2087348350

Form 5500 Series

Employer Identification Number (EIN):
208413998
Plan Year:
2017
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
34
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006002841 2024-12-03
Annual Report 0005493163 2023-12-03
Annual Report 0005017912 2022-12-07
Annual Report 0004530963 2021-12-15
Annual Report 0004088785 2020-12-04

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
426802.00
Total Face Value Of Loan:
426802.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
426802
Current Approval Amount:
426802
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
429666.84

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Date of last update: 28 May 2025

Sources: Idaho Secretary of State