| Name: | CongenitalCardioCare PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 29 May 2020 (5 years ago) |
| Financial Date End: | 31 May 2026 |
| Entity Number: | 3886528 |
| Place of Formation: | IDAHO |
| File Number: | 711596 |
| ZIP code: | 83406 |
| County: | Bonneville County |
| Principal Address: | CRISTINA LEON DO G-304 2785 EAGLE DRIVE AMMON, ID 83406 |
| Mailing Address: | DR CRISTINA ABUCHAIBE 2184 CHANNING WAY PMB 301 IDAHO FALLS, ID 83404-8034 |
| Name | Role | Address |
|---|---|---|
| Cristina Abuchaibe | Agent | 2184 CHANNING WAY, 301, IDAHO FALLS, ID 83404-8034 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Cristina Leon | Governor | 2785 EAGLE DRIVE, AMMON, ID 83406 | 2021-06-25 | 2021-09-14 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Cristina Leon | President | 2785 EAGLE DRIVE, AMMON, ID 83206 | 2021-06-22 | No data |
| CrisCardioCare | President | 2785 EAGLE DRIVE, AMMON, ID 83206 | 2021-04-06 | 2021-06-22 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Cristina Leon | Manager | 2785 EAGLE DRIVE, AMMON, ID 83406 | 2021-09-14 | 2024-04-10 |
| Cristina Abuchaibe | Manager | 2184 CHANNING WAY PMB 301, IDAHO FALLS, ID 83404-8034 | 2024-04-10 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006188048 | 2025-04-03 |
| Annual Report Amendment | 0005687579 | 2024-04-10 |
| Annual Report | 0005682600 | 2024-04-07 |
| Statement of Change of Business Mailing Address | 0005415730 | 2023-10-02 |
| Annual Report | 0005195624 | 2023-04-11 |
| Statement of Change of Business Mailing Address | 0004921396 | 2022-09-21 |
| Annual Report | 0004699490 | 2022-04-16 |
| Amendment to Certificate | 0004419226 | 2021-09-14 |
| Statement of Change of Business Mailing Address | 0004357556 | 2021-07-26 |
| Statement of Conversion | 0004325178 | 2021-06-25 |
Date of last update: 15 Apr 2025
Sources: Idaho Secretary of State
