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HOSPICE OF NORTH IDAHO, INC.

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Company Details

Name: HOSPICE OF NORTH IDAHO, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Nov 1981 (44 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 216215
Place of Formation: IDAHO
File Number: 216215
ZIP code: 83815
County: Kootenai County
Mailing Address: 2290 W PRAIRIE AVE COEUR D ALENE, ID 83815-8424

Agent

Name Role Address
Eric M Ladwig Agent 2290 W PRAIRIE AVE, COEUR D ALENE, ID 83815

Secretary

Name Role Address Appointed On
Christy Miller Secretary 2290 W PRAIRIE AVE, COEUR D'ALENE, ID 83815 2020-10-27

Director

Name Role Address Appointed On Resigned On
Michael Grabenstein Director 963 N 5TH STREET, COEUR D'ALENE, ID 83814 2023-11-07 2023-11-07
Georgianne Jessen Director 9798 N PINE VALLEY CT, HAYDEN, ID 83835 2023-11-07 2023-11-07
Shari Sugimura Director 2123 N GOVERNMENT WAY, COEUR D'ALENE, ID 83814 2023-11-07 2023-11-07
George Balling Director 2910 E FERNAN CT, COEUR D'ALENE, ID 83814 2023-11-07 2023-11-07
Dwight A Hoeck Director 250 NORTHWEST BLVD #202, COEUR D'ALENE, ID 83814 2023-11-07 2023-11-07
Sheri Isch Director 283 S GALLATIN RD, POST FALLS, ID 83854 2023-11-07 2023-11-07
Alan Wasserman Director 7880 MT CARROL ST, DALTON GARDENS, ID 83815 2023-11-07 2023-11-07
Scott Venera Director 700 W IRONWOOD DR #175, COEUR D'ALENE, ID 83814 2023-11-07 2023-11-07
Lora Whalen Director 4350 E BURCHELL DRIVE, HAYDEN, ID 83835 2023-11-07 2023-11-07
Tim Quinn MD Director 210 N LAKEVIEW DR, COEUR D'ALENE, ID 83814 2023-11-07 No data

Vice President

Name Role Address Appointed On Resigned On
Shawna Cauley Vice President 2290 W PRAIRIE AVE, COEUR D ALENE, ID 83815 2023-11-07 2023-11-07

President

Name Role Address Appointed On Resigned On
Eric M Ladwig NP-C President 2290 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8424 2023-11-07 2023-11-07

Treasurer

Name Role Address Appointed On Resigned On
Ashley J Tennis Treasurer 2290 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8424 2023-11-07 2023-11-07

National Provider Identifier

NPI Number:
1245235878
Certification Date:
2022-08-24

Authorized Person:

Name:
ASHLEY TENNIS
Role:
DIRECTOR OF FINANCE
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005971231 2024-11-07
Annual Report 0005469559 2023-11-07
Annual Report 0004975671 2022-11-04
Annual Report 0004495867 2021-11-11
Annual Report 0004042518 2020-10-27

Trademarks Section

Serial Number:
97872898
Mark:
HOSPICE OF NORTH IDAHO
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2023-04-04
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
HOSPICE OF NORTH IDAHO

Goods And Services

For:
Health care services, namely, palliative care and hospice services; home health care services; palliative care; hospice services; in-home hospice care; in-patient hospice care; consultation services in the fields of palliative care and hospice care; providing collaborative healthcare services to pat...
First Use:
1981-11-30
International Classes:
044 - Primary Class
Class Status:
ACTIVE
For:
Providing personal support services for caregivers and family members of hospice patients, namely, providing companionship, emotional support, grief support, and spiritual support; providing information about support services for caregivers and family members of hospice patients, namely, information...
First Use:
1981-11-30
International Classes:
045 - Primary Class
Class Status:
ACTIVE

Tax Exempt

Employer Identification Number (EIN) :
82-0368366
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1982-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State