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Eden Home Health of Sandpoint, LLC

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Company Details

Name: Eden Home Health of Sandpoint, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 12 Aug 2019 (6 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 3593795
Place of Formation: WASHINGTON
File Number: 676746
ZIP code: 83864
County: Bonner County
Principal Address: EDEN HOME HEALTH 530 PINE STREET SANDPOINT, ID 83864
Mailing Address: LEGAL DEPT STE 300 4601 NE 77TH AVE VANCOUVER, WA 98662-6736

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

National Provider Identifier

NPI Number:
1346898830
Certification Date:
2022-06-23

Authorized Person:

Name:
MICHAEL J. MILLER
Role:
CEO AND ASSISTANT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
3608825793

Filing

Filing Name Filing Number Filing date
Annual Report 0005875485 2024-09-01
Annual Report 0005376370 2023-08-31
Registered Agent Name/Address Change (mass change) 0004896330 2022-09-12
Annual Report 0004872905 2022-08-30
Annual Report 0004361887 2021-07-30

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State