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  5. Phoenix Health LLC

Phoenix Health LLC

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Company Details

Name: Phoenix Health LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Apr 2019 (6 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 3498792
Place of Formation: IDAHO
File Number: 664483
ZIP code: 83669
County: Ada County
Principal Address: KATIE JONES 501 N LYNGATE PL 501 N LYNGATE PL STAR, ID 83669
Mailing Address: 501 N LYNGATE PL STAR, ID 83669-5072

Agent

Name Role Address
KATIE JONES Agent 501 N LYNGATE PL, STAR, ID 83669

Manager

Name Role Address Appointed On
Katie Jones Manager 3142 W BELLTOWER DR, MERIDIAN, ID 83646 2021-05-13

National Provider Identifier

NPI Number:
1942813134
Certification Date:
2020-08-26
Link:
View on NPI website

Authorized Person:

Name:
KATIE JONES
Role:
OWNER/CLINICIAN
Phone:
2089960099

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 208-996-0099

Form 5500 Series

Employer Identification Number (EIN):
834683191
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
2089966422
File:
View File
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
2089966422
File:
View File

Filing

Filing Name Filing Number Filing date
Annual Report 0006201669 2025-04-09
Annual Report 0005684143 2024-04-08
Annual Report 0005166903 2023-03-24
Annual Report 0004682363 2022-04-03
Annual Report 0004282474 2021-05-13

USAspending Awards / Financial Assistance

Date:
2021-05-22
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:
7955.00
Total Face Value Of Loan:
7955.00
Date:
2020-04-13
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:
7121.00
Total Face Value Of Loan:
4130.00
Date:
2019-08-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
80000.00
Total Face Value Of Loan:
80000.00

Paycheck Protection Program

Date Approved:
2021-05-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
7955
Current Approval Amount:
7955
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
8004.5
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
7121
Current Approval Amount:
4130
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
4171.64

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State

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