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Cornerstone Supported Living LLC

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Company Details

Name: Cornerstone Supported Living LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Nov 2019 (6 years ago)
Financial Date End: 30 Nov 2020
Date dissolved: 04 Feb 2021
Entity Number: 3682381
Place of Formation: IDAHO
File Number: 688691
ZIP code: 83646
County: Ada County
Principal Address: JAMILA GILLIAM APT J202 3400 E. RIVER VALLEY STREET MERIDIAN, ID 83646
Mailing Address: JAMILA GILLIAM APT J202 3400 E RIVER VALLEY ST MERIDIAN, ID 83646-2361

Agent

Name Role Address
Jamila M Gilliam Agent 3400 E RIVER VALLEY STREET, J202, MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1699314443
Certification Date:
2019-12-26

Authorized Person:

Name:
JAMILA GILLIAM
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
251X00000X - Supports Brokerage Agency
Is Primary:
No
Selected Taxonomy:
315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary:
No

Contacts:

Fax:
2089555608

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004161759 2021-02-04
Statement of Conversion 0003714731 2019-12-24
Initial Filing 0003682381 2019-11-21

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State