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Coeur Vitality, PLLC

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Company Details

Name: Coeur Vitality, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Mar 2020 (5 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 3804283
Place of Formation: IDAHO
File Number: 702043
ZIP code: 83814
County: Kootenai County
Principal Address: DR. BRITTANY BURNS 316 MILITARY DR COEUR D'ALENE, ID 83814
Mailing Address: 316 MILITARY DR COEUR D ALENE, ID 83814-2137

Member

Name Role Address Appointed On Resigned On
Jonathan Burns Member 316 MILITARY DR, COEUR D'ALENE, ID 83814 2021-03-03 2022-12-14
Jonathna Burns Member 110 E WALLACE AVE, COEUR D ALENE, ID 83814 2022-12-14 No data

Agent

Name Role Address
Brittany Burns Agent 110 E WALLACE AVE, COEUR D ALENE, ID 83814

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
D4QFF2RJLEA3
CAGE Code:
96LU4
UEI Expiration Date:
2025-07-02

Business Information

Activation Date:
2024-07-04
Initial Registration Date:
2021-10-13

National Provider Identifier

NPI Number:
1316574700
Certification Date:
2020-08-17

Authorized Person:

Name:
BRITTANY BURNS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
845128853
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006092934 2025-02-03
Annual Report 0005688284 2024-04-11
Annual Report 0005121635 2023-02-21
Application for Reinstatement 0005029810 2022-12-14
Dissolution/Revocation - Administrative 0004791845 2022-06-24

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Date of last update: 14 Jun 2025

Sources: Idaho Secretary of State