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EDEN HOME HEALTH OF IDAHO FALLS, LLC

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Company Details

Name: EDEN HOME HEALTH OF IDAHO FALLS, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 04 Nov 2013 (12 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 400044
Place of Formation: WASHINGTON
File Number: 400044
ZIP code: 83404
County: Bonneville County
Principal Address: 2540 CHANNING WAY IDAHO FALLS, ID 83404
Mailing Address: LEGAL DEPARTMENT STE 300 4601 NE 77TH AVE VANCOUVER, WA 98662-6736

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
BRENT WEIL Manager 4601 NE 77TH AVENUE, VANCOUVER, WA 98662 2020-11-25 No data
Eden Healthcare Management, LLC Manager 4601 NE 77TH AVE, VANCOUVER, WA 98662-6736 2023-11-30 No data
MICHAEL J MILLER Manager 4601 NE 77TH AVENUE, VANCOUVER, WA 98682 2023-11-30 2023-11-30

Governor

Name Role Address Appointed On
EmpRes Healthcare Management, LLC Governor 4601 NE 77TH AVE, VANCOUVER, WA 98662-6736 2021-05-04

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:
JBCACJYAJ6T1
CAGE Code:
84R77
UEI Expiration Date:
2025-10-10

Business Information

Activation Date:
2024-10-14
Initial Registration Date:
2018-06-29

National Provider Identifier

NPI Number:
1649683582
Certification Date:
2022-02-10

Authorized Person:

Name:
MICHAEL J. MILLER
Role:
CFO AND ASSISTANT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
No
Selected Taxonomy:
374U00000X - Home Health Aide
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No

Contacts:

Fax:
2085234024

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271920 2025-05-27
Annual Report 0005996543 2024-11-30
Annual Report 0005491885 2023-11-30
Annual Report 0004999148 2022-11-22
Registered Agent Name/Address Change (mass change) 0004894960 2022-09-12

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State