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ACTIVE FAMILY HEALTHCARE, P.L.L.C.

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Company Details

Name: ACTIVE FAMILY HEALTHCARE, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Aug 2012 (13 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 357851
Place of Formation: IDAHO
File Number: 357851
ZIP code: 83815
County: Kootenai County
Principal Address: 919 W CANFIELD AVE COEUR D ALENE, ID 83815
Mailing Address: 919 W CANFIELD AVE COEUR D ALENE, ID 83815-9764

Agent

Name Role Address
JENNIFER S FLETCHER Agent 919 W CANFIELD AVE, COEUR D ALENE, ID 83815

Manager

Name Role Address Appointed On
Jennifer Fletcher Manager 2372 E HANLEY, DALTON GARDENS, ID 83815 2020-07-08

National Provider Identifier

NPI Number:
1063764462
Certification Date:
2025-03-03

Authorized Person:

Name:
DR. JENNIFER FLETCHER
Role:
OWNER NURSE PRACTIONER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2087625424

Filing

Filing Name Filing Number Filing date
Annual Report 0005868288 2024-08-22
Annual Report 0005376490 2023-08-31
Annual Report 0004819137 2022-07-11
Annual Report 0004366383 2021-08-03
Annual Report 0003934730 2020-07-08

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$105,382.5
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$105,382.5
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$106,058.1
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $105,382.5

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State