| Name: | PURE Healthcare of Idaho LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 08 Oct 2019 (5 years ago) |
| Financial Date End: | 31 Oct 2025 |
| Entity Number: | 3644465 |
| Place of Formation: | IDAHO |
| File Number: | 683409 |
| ZIP code: | 83704 |
| County: | Ada County |
| Principal Address: | 6550 W EMERALD ST BOISE, ID 83704 |
| Mailing Address: | 4179 S RIVERBOAT ROAD SUITE 220 TAYLORSVILLE, UT 84123 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MP64H7752HU5 | 2025-02-07 | 5975 W OVERLAND RD, BOISE, ID, 83709, 3012, USA | 4179 S RIVERBOAT RD, STE 220, TAYLORSVILLE, UT, 84123, 2986, USA | |||||||||||||||||||||||||||||||||||||||
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| Congressional District | 02 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2024-02-12 |
| Initial Registration Date | 2024-02-08 |
| Entity Start Date | 2019-03-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | HOLLY BREWER |
| Role | VICE PRESIDENT OF REV OPS |
| Address | 4179 S RIVERBOAT RD, STE 220, TAYLORSVILLE, UT, 84123, 2896, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | HOLLY BREWER |
| Role | VICE PRESIDENT OF REV OPS |
| Address | 4179 S RIVERBOAT RD, STE 220, TAYLORSVILLE, UT, 84123, 2896, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Kevin McKenzie | Manager | 4179 RIVERBOAT ROAD, TAYLORSVILLE, UT 84123 | 2023-02-23 |
| Daniel Smith | Manager | 4179 RIVERBOAT ROAD, TAYLORSVILLE, UT 84123 | 2023-09-22 |
| Pure Infusion Suites, LLC | Manager | 784 S. CLEARWATER LOOP STE B, POST FALLS, ID 83854 | 2024-09-02 |
| Name | Role | Address |
|---|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent | 784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005875512 | 2024-09-02 |
| Annual Report | 0005408839 | 2023-09-22 |
| Application for Reinstatement | 0005117270 | 2023-02-23 |
| Dissolution/Revocation - Administrative | 0004130830 | 2021-01-12 |
| Initial Filing | 0003644465 | 2019-10-08 |
Date of last update: 31 Dec 2024
Sources: Idaho Secretary of State
