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HPA IDAHO, LLC

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Company Details

Name: HPA IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Jan 2010 (15 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 280199
Place of Formation: IDAHO
File Number: 280199
Principal Address: 3021 LORNA RD STE 200 BIRMINGHAM, AL 35216
Mailing Address: STE 800 801 WARRENVILLE RD LISLE, IL 60532-0912

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
BRIAN MONAHAN Manager 6303 COWBOYS WAY SUITE 600, FRISCO, TX 75034 2024-01-14 2024-01-14

Member

Name Role Address Appointed On Resigned On
DIRK ALLISON Member 6303 COWBOYS WAY SUITE 600, FRISCO, TX 75034 2021-01-28 No data
BRIAN POFF Member 6303 COWBOYS WAY SUITE 600, FRISCO, TX 75034 2024-01-14 2024-01-14

National Provider Identifier

NPI Number:
1114317153
Certification Date:
2024-09-09

Authorized Person:

Name:
MR. WILLIAM BRADLEY BICKHAM
Role:
PRESIDENT & COO
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
2053796720
Fax:
2089476806

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271520 2025-05-27
Statement of Change of Business Mailing Address 0006227444 2025-05-02
Annual Report 0005999076 2024-12-03
Annual Report 0005561707 2024-01-14
Annual Report 0005075337 2023-01-19

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State