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TETON HOSPICE LLC

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Company Details

Name: TETON HOSPICE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 09 Dec 2011 (13 years ago)
Financial Date End: 31 Dec 2018
Date dissolved: 19 Oct 2018
Entity Number: 335891
Place of Formation: IDAHO
File Number: 335891
ZIP code: 83404
County: Bonneville County
Principal Address: 2470 JAFER CT IDAHO FALLS, ID 83404

Agent

Name Role Address
JASON M BAILEY Agent 2470 JAFER CT, IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1831466002

Authorized Person:

Name:
MARK DEIS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003332354 2018-10-19
Annual Report 0002420995 2017-12-19
Annual Report 0002420994 2016-10-31
Annual Report 0002420993 2015-10-14
Annual Report 0002420992 2014-11-19

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State