| Name: | VALLEY VISTA CARE CORPORATION |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 16 Jun 1986 (39 years ago) |
| Financial Date End: | 30 Jun 2025 |
| Entity Number: | 254620 |
| Place of Formation: | IDAHO |
| File Number: | 254620 |
| ZIP code: | 83861 |
| County: | Benewah County |
| Mailing Address: | KASEY WILKS 820 ELM DR ST MARIES, ID 83861-2119 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| W9LRNWB3QEM5 | 2024-01-24 | 820 ELM DR, SAINT MARIES, ID, 83861, 2119, USA | 820 ELM DR, SAINT MARIES, ID, 83861, 2119, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Division Name | VALLEY VISTA CARE CORPORATION |
| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2023-02-16 |
| Initial Registration Date | 2004-02-10 |
| Entity Start Date | 1986-06-16 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KASEY BORGMAN |
| Role | DIRECTOR OF CORPORATE COMPLIANCE |
| Address | 820 ELM DR., SAINT MARIES, ID, 83861, USA |
| Title | ALTERNATE POC |
| Name | CHUCK LLOYD |
| Role | CEO |
| Address | 820 ELM STREET, ST MARIES, ID, 83861, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KASEY BORGMAN |
| Role | DIRECTOR OF CORPORATE COMPLIANCE |
| Address | 820 ELM STREET, SAINT MARIES, ID, 83861, USA |
| Title | ALTERNATE POC |
| Name | CHUCK LLOYD |
| Role | CEO |
| Address | 820 ELM STREET, ST MARIES, ID, 83861, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | KASEY D BORGMAN |
| Role | DIRECTOR OF CORP COMPLIANCE |
| Address | 820 ELM STREET, SAINT MARIES, ID, 83861, USA |
| Name | Role | Address |
|---|---|---|
| Kasey D Wilks | Agent | 820 ELM DR, ST MARIES, ID 83861-2119 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Claudia Spooner | President | 1903 HONEYSUCKLE LANE, ST MARIES, ID 83861 | 2020-07-02 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Trask Silva | Director | PO BOX 336, ST MARIES, ID 83861 | 2023-06-14 |
| Tom Goodall | Director | PO BOX 81, ST. MARIES, ID 83861 | 2023-06-14 |
| Donna Hays | Director | PO BOX 492, ST. MARIES, ID 83861 | 2023-06-14 |
| Doug Ryan | Director | 2348 W. JEFFERSON, ST MARIES, ID 83861 | 2023-06-14 |
| Sabrina Powell | Director | 618 S 9TH STREET, ST. MARIES, ID 83861 | 2024-05-14 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Cheri Woodin | Secretary | 165 GARDEN WAY, ST MARIES, ID 83861 | 2023-06-14 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Bill Cowin | Vice President | 1022 PARK DRIVE, ST MARIES, ID 83861 | 2023-06-14 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005737183 | 2024-05-14 |
| Annual Report | 0005284734 | 2023-06-14 |
| Annual Report | 0004818084 | 2022-07-11 |
| Annual Report | 0004312346 | 2021-06-10 |
| Annual Report | 0003924469 | 2020-07-02 |
| Annual Report | 0003532674 | 2019-06-06 |
| Annual Report | 0001969137 | 2018-06-15 |
| Annual Report | 0001969135 | 2017-05-01 |
| Annual Report | 0001969133 | 2016-05-13 |
| Annual Report | 0001969131 | 2015-04-21 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | 36C26023D0008 | 2023-04-01 | No data | No data | |||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 2613250.00 |
Description
| Title | RATE MODIFICATION FROM MEDICARE TO MEDICADE |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | VALLEY VISTA CARE CORPORATION |
| UEI | W9LRNWB3QEM5 |
| Recipient Address | UNITED STATES, 820 ELM DR, SAINT MARIES, BENEWAH, IDAHO, 838612119 |
Date of last update: 18 Jan 2025
Sources: Idaho Secretary of State
