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  5. KINGHORN MEDICAL, LLC

KINGHORN MEDICAL, LLC

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Company Details

Name: KINGHORN MEDICAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Jan 2012 (14 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 339728
Place of Formation: IDAHO
File Number: 339728
ZIP code: 83709
County: Ada County
Principal Address: 248 S COLE ROAD BOISE, ID 83709
Mailing Address: 248 S COLE RD BOISE, ID 83709-0934

Agent

Name Role Address
MELISSA ROSE KINGHORN Agent 5489 E WILDHORSE LN, BOISE, ID 83712

Manager

Name Role Address Appointed On
Jake Kinghorn Manager 248 S COLE RD, BOISE, ID 83709-0934 2020-12-03

Member

Name Role Address Appointed On Resigned On
Jake K Kinghorn Member 5489 E WILDHORSE LN, BOISE, ID 83712 2023-12-03 No data
Melissa Kinghorn Member 248 S COLE RD, BOISE, ID 83709-0934 2023-12-03 2023-12-03

U.S. Small Business Administration Profile

Website:
http://www.mtnbrace.com/
E-Commerce Website:
https://jake.kinghorn@gmail.com
Phone Number:
208-350-3092
E-mail Address:
jake@mtnbrace.com
Fax Number:
208-901-8185
Contact Person:
JAKE KINGHORN
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P1647928
Trade Name:
MOUNTAIN BRACE SYSTEMS

Unique Entity ID

Unique Entity ID:
W5YNTVMH4LL9
CAGE Code:
6QEN7
UEI Expiration Date:
2026-05-28

Business Information

Doing Business As:
MOUNTAIN BRACE SYSTEMS
URL:
http://www.mtnbrace.com/
Division Name:
MOUNTAIN BRACE SYTEMS
Activation Date:
2025-05-30
Initial Registration Date:
2012-04-18

Commercial and government entity program

CAGE number:
6QEN7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-30
CAGE Expiration:
2030-05-30
SAM Expiration:
2026-05-28

Contact Information

POC:
JAKE KINGHORN
Corporate URL:
http://www.mtnbrace.com/

National Provider Identifier

NPI Number:
1821436718
Certification Date:
2024-09-20
Link:
View on NPI website

Authorized Person:

Name:
MR. JAKE KENT KINGHORN
Role:
OWNER
Phone:
2083503092

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
Yes

Contacts:

Phone:
+1 208-350-3092
Fax:
2089018185

Filing

Filing Name Filing Number Filing date
Annual Report 0006003323 2024-12-03
Annual Report 0005493751 2023-12-03
Annual Report 0005008709 2022-12-03
Annual Report 0004520430 2021-12-07
Annual Report 0004086694 2020-12-03

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26018P0767
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
4954.93
Base And Exercised Options Value:
4954.93
Base And All Options Value:
4954.93
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2017-12-08
Description:
CUSTOM SPINAL ORTHOSIS
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
VA24713P0087
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
19848.01
Base And Exercised Options Value:
19848.01
Base And All Options Value:
19848.01
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-09-29
Description:
KHUN DENTAL
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
VA24712P5066
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
8229.70
Base And Exercised Options Value:
8229.70
Base And All Options Value:
8229.70
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-09-28
Description:
SHARPSITE
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2021-01-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
110088.00
Total Face Value Of Loan:
110088.00
Date:
2020-05-15
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
115900.00
Total Face Value Of Loan:
115900.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$115,900
Date Approved:
2020-05-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$117,090.75
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $115,900
Jobs Reported:
10
Initial Approval Amount:
$110,088
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$110,088
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$110,688.21
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $110,088

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State

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