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HAVENWOOD CAREGIVER SERVICES OF IDAHO, LLC.

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Company Details

Name: HAVENWOOD CAREGIVER SERVICES OF IDAHO, LLC.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Jun 2008 (17 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 236339
Place of Formation: IDAHO
File Number: 236339
ZIP code: 83704
County: Ada County
Principal Address: 2417 NORTH COLE BOISE, ID 83704
Mailing Address: 2417 N COLE RD BOISE, ID 83704-5907

Agent

Name Role Address
JOHN O'KEEFFE Agent 2417 NORTH COLE, BOISE, ID 83704

Member

Name Role Address Appointed On
Theresa OKeeffe Member 6085 N ASPEN GLEN WAY, BOISE, ID 83714 2021-05-03

U.S. Small Business Administration Profile

Phone Number:
Fax Number:
208-327-1411
Contact Person:
MICHELLE NISEN
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P2512454
Trade Name:
HAVENWOOD CAREGIVER SERVICE

Unique Entity ID

Unique Entity ID:
TBRTCY7VRJX7
CAGE Code:
8T2H4
UEI Expiration Date:
2026-04-07

Business Information

Doing Business As:
HAVENWOOD CAREGIVER SERVICES
Activation Date:
2025-04-09
Initial Registration Date:
2020-09-30

National Provider Identifier

NPI Number:
1841798857

Authorized Person:

Name:
JOHN OKEEFFE
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fax:
2083271411

Filing

Filing Name Filing Number Filing date
Annual Report 0006231489 2025-05-04
Annual Report 0005721760 2024-05-03
Annual Report 0005218232 2023-05-03
Annual Report 0004725619 2022-05-03
Annual Report 0004262621 2021-05-03

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State