Search icon

SOUTH PARK, INCORPORATED

Company claim

Is this your business?

Get access!

Company Details

Name: SOUTH PARK, INCORPORATED
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Sep 1985 (40 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 248558
Place of Formation: IDAHO
File Number: 248558
ZIP code: 83204
County: Power County
Mailing Address: JAMIE L ANTHONY 415 S ARTHUR AVE POCATELLO, ID 83204-3303

Agent

Name Role Address
Jamie L Anthony Agent 415 S ARTHUR AVE, POCATELLO, ID 83204

President

Name Role Address Appointed On
Stacie Shouse President 135 N ARTHUR AVE, POCATELLO, ID 83204 2020-08-10

Director

Name Role Address Appointed On
Susan Villano Director 1910 ARLINGTON DRIVE, POCATELLO, ID 83204 2023-08-10
Linda Waters Director 1676 CALICO CIRCLE, POCATELLO, ID 83201 2023-08-10
Rich Derie Director 1780 RAINIER DRIVE, POCATELLO, ID 83201 2022-09-08
Therese Marchetti Director 4861 REED, CHUBBUCK, ID 83202 2023-08-10
Kristine Korrell Director 280 S. ARTHUR AVE, POCATELLO, ID 83204 2023-08-10
Brooks Hale Director 636 ALPINE AVE, POCATELLO, ID 83201 2024-08-05

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
CX6VUFRJQMU5
UEI Expiration Date:
2024-08-28

Business Information

Doing Business As:
DEVELOPMENTAL OPTIONS
Activation Date:
2023-08-31
Initial Registration Date:
2022-10-03

National Provider Identifier

NPI Number:
1821203498

Authorized Person:

Name:
RUSSELL C MCCOY
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
2082336842

Filing

Filing Name Filing Number Filing date
Annual Report 0005840858 2024-08-05
Annual Report 0005360013 2023-08-10
Annual Report 0004889814 2022-09-08
Change of Registered Office/Agent/Both (by Entity) 0004376760 2021-08-10
Annual Report 0004376792 2021-08-10

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 30 May 2025

Sources: Idaho Secretary of State