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Omega Health Services PLLC

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Company Details

Name: Omega Health Services PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Dec 1997 (28 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 29924
Place of Formation: IDAHO
File Number: 29924
ZIP code: 83703
County: Ada County
Principal Address: 5985 W STATE ST BOISE, ID 83703
Mailing Address: 5985 W STATE ST BOISE, ID 83703-3039

Agent

Name Role Address
KRISTINA J HARRINGTON Agent 5985 W STATE ST, BOISE, ID 83703

Manager

Name Role Address Appointed On
Kristina J Harrington Manager 5985 W STATE ST, BOISE, ID 83703-3039 2020-12-04

National Provider Identifier

NPI Number:
1922125764

Authorized Person:

Name:
PATRICK J DWYER
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
2088539422

Filing

Filing Name Filing Number Filing date
Annual Report 0005978594 2024-11-12
Annual Report 0005465579 2023-11-06
Annual Report 0004993608 2022-11-15
Annual Report 0004479168 2021-11-03
Annual Report 0004088490 2020-12-04

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Date of last update: 23 Jun 2025

Sources: Idaho Secretary of State