| Name: | DR. PAULA M. NORDSTROM, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 05 Nov 2009 (15 years ago) |
| Financial Date End: | 30 Nov 2024 |
| Date dissolved: | 22 Feb 2025 |
| Entity Number: | 273997 |
| Place of Formation: | IDAHO |
| File Number: | 273997 |
| ZIP code: | 83651 |
| County: | Canyon County |
| Principal Address: | 408 22ND AVE S NAMPA, ID 83651 |
| Mailing Address: | DR. PAULA M. NORDSTROM 12336 S CARRIAGE HILL WAY NAMPA, ID 83686-5764 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Paula M Nordstrom | Manager | 12336 SOUTH CARRIAGE HILL WAY, NAMPA, ID 83686 | 2020-10-05 |
| Name | Role | Address |
|---|---|---|
| DR PAULA M NORDSTROM | Agent | 12336 SOUTH CARRIAGE HILL WAY, DR. PAULA M. NORDSTROM, NAMPA, ID 83686 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0006117330 | 2025-02-22 |
| Annual Report | 0005443884 | 2023-10-18 |
| Annual Report | 0004968139 | 2022-11-02 |
| Annual Report | 0004434258 | 2021-10-03 |
| Annual Report | 0004024512 | 2020-10-05 |
| Annual Report | 0003668618 | 2019-11-05 |
| Application for Reinstatement | 0003448247 | 2019-03-11 |
| Dissolution/Revocation - Administrative | 0003442286 | 2019-03-05 |
| Annual Report | 0002080976 | 2017-10-10 |
| Annual Report | 0002080975 | 2016-09-26 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DCA | AWARD | AG82A7C100075 | 2010-07-27 | 2015-06-30 | 2015-06-30 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | MENTAL HEALTH CENTENNIAL |
| NAICS Code | 621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS |
| Product and Service Codes | Q526: MEDICAL/PSYCH CONSULTATION SVCS |
Recipient Details
| Recipient | DR. PAULA M. NORDSTROM, LLC |
| UEI | N6WKRP3N49L8 |
| Legacy DUNS | 962687377 |
| Recipient Address | 408 22ND AVE S, NAMPA, 836515424, UNITED STATES |
Date of last update: 03 Apr 2025
Sources: Idaho Secretary of State
