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ASSURANCE BEHAVIORAL HEALTH, LLC

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Company Details

Name: ASSURANCE BEHAVIORAL HEALTH, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Apr 2008 (17 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 229969
Place of Formation: IDAHO
File Number: 229969
ZIP code: 83607
County: Canyon County
Principal Address: 710 KEOGH LN CALDWELL, ID 83607
Mailing Address: JENNIFER FRIES 710 KEOGH LN CALDWELL, ID 83607-1834

Agent

Name Role Address
JAMES L FRIES Agent 710 KEOGH LN., CALDWELL, ID 83607

Manager

Name Role Address Appointed On Resigned On
JENNIFER M FRIES Manager 710 KEOGH LN., CALDWELL, ID 83607 2023-12-27 2024-03-04

Member

Name Role Address Appointed On
JAMES L FRIES Member 710 KEOGH LN, CALDWELL, ID 83607 2021-05-05

National Provider Identifier

NPI Number:
1417120304

Authorized Person:

Name:
JAMES L FRIES
Role:
CEO/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006230406 2025-05-03
Annual Report 0005632395 2024-03-04
Annual Report Amendment 0005527701 2023-12-27
Annual Report 0005149610 2023-03-09
Annual Report 0004711965 2022-04-21

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State