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MODERN REHAB LLC

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Company Details

Name: MODERN REHAB LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Jul 2013 (12 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 388507
Place of Formation: IDAHO
File Number: 388507
ZIP code: 83642
County: Ada County
Principal Address: STE 110 745 S PROGRESS AVE MERIDIAN, ID 83642-5606
Mailing Address: STE 290 2600 DALLAS PKWY FRISCO, TX 75034-7493

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Manager

Name Role Address Appointed On
Idaho Rehabilitation Partners, LLC Manager 2600 DALLAS PARKWAY, FRISCO, TX 75034 2020-06-24

National Provider Identifier

NPI Number:
1790126522

Authorized Person:

Name:
KEVIN HULSEY
Role:
PRESIDENT, CEO
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2082880424
Fax:
2088950311

Filing

Filing Name Filing Number Filing date
Annual Report 0005816899 2024-07-11
Amendment to Certificate 0005524330 2023-12-20
Annual Report 0005318152 2023-07-12
Annual Report 0004833901 2022-07-28
Registered Agent Name/Address Change (mass change) 0004639740 2022-03-08

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State