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QUALICARE, INC.

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Company Details

Name: QUALICARE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Feb 2000 (25 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 405365
Place of Formation: IDAHO
File Number: 405365
ZIP code: 83406
County: Bonneville County
Mailing Address: STE A 3539 BRIAR CREEK LN AMMON, ID 83406-4761

Agent

Name Role Address
BART O LARSEN Agent 3539 BRIAR CREEK STE A, IDAHO FALLS, ID 83406

President

Name Role Address Appointed On
Bart O Larsen President 3539 BRIAR CREEK, AMMON, ID 83406 2021-01-04

Unique Entity ID

Unique Entity ID:
LWXKYPJFATS3
CAGE Code:
9JFL5
UEI Expiration Date:
2026-01-02

Business Information

Activation Date:
2025-01-06
Initial Registration Date:
2023-04-03

Commercial and government entity program

CAGE number:
9JFL5
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-06
SAM Expiration:
2026-01-02

Contact Information

POC:
BART LARSEN

National Provider Identifier

NPI Number:
1629252994

Authorized Person:

Name:
BART O LARSEN
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
2085527847

Filing

Filing Name Filing Number Filing date
Annual Report 0006160218 2025-03-14
Annual Report 0005559652 2024-01-11
Annual Report 0005074904 2023-01-19
Annual Report 0004547087 2022-01-03
Annual Report 0004115750 2021-01-04

Paycheck Protection Program

Jobs Reported:
120
Initial Approval Amount:
$375,000
Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$375,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$378,267.12
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $375,000
Jobs Reported:
111
Initial Approval Amount:
$341,600
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$341,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$343,181.65
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $341,600

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Date of last update: 07 Aug 2025

Sources: Idaho Secretary of State