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CAMP HIPPO PEDIATRIC THERAPY LLC

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Company Details

Name: CAMP HIPPO PEDIATRIC THERAPY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Jul 2007 (18 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 205634
Place of Formation: IDAHO
File Number: 205634
ZIP code: 83221
County: Bingham County
Principal Address: 7 N 600 W BLACKFOOT, ID 83221
Mailing Address: 7 N 600 W BLACKFOOT, ID 83221-5533

Agent

Name Role Address
BETTY CHRISTINA JAQUES Agent 7 N 600 W, BLACKFOOT, ID 83221

Manager

Name Role Address Appointed On
Kris Jaques Manager 7N 600W, BLACKFOOT, ID 83211 2021-07-12

Member

Name Role Address Appointed On
Roderick Jaques Member 7N 600W, BLACKFOOT, ID 83211 2024-06-03

National Provider Identifier

NPI Number:
1609032267
Certification Date:
2025-03-12

Authorized Person:

Name:
MRS. MORGEN TAYLER STOTT
Role:
OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
260600820
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005753556 2024-06-03
Annual Report 0005267426 2023-06-05
Annual Report 0004802126 2022-07-05
Annual Report 0004344513 2021-07-12
Annual Report 0003888840 2020-06-03

USAspending Awards / Financial Assistance

Date:
2008-12-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
30000.00
Total Face Value Of Loan:
0.00

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Date of last update: 05 May 2025

Sources: Idaho Secretary of State