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HOSPICE OF EASTERN IDAHO, INC.

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Company Details

Name: HOSPICE OF EASTERN IDAHO, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Apr 2000 (25 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 407710
Place of Formation: IDAHO
File Number: 407710
ZIP code: 83401
County: Bonneville County
Mailing Address: 1810 MORAN ST IDAHO FALLS, ID 83401-4337

Agent

Name Role Address
CELESTE ELD Agent 1486 SAGE CIRCLE, BLACKFOOT, ID 83221

Treasurer

Name Role Address Appointed On Resigned On
NICK BURROWS Treasurer PO BOX 52026, IDAHO FALLS, ID 83405 2021-06-07 2023-03-03
Debra Wetherald Treasurer 1240 N 900 E, SHELLEY, ID 83274 2024-03-13 2024-03-13

President

Name Role Address Appointed On Resigned On
DIANE KEY President 2510 W ELDORADO, IDAHO FALLS, ID 83402 2023-03-03 2024-03-13
CELESTE ELD President 1486 SAGE CIRCLE, BLACKFOOT, ID 83221 2024-03-13 No data
DIANE SHELDON President 3785 SHADOW MOUNTAIN TRAIL, IDAHO FALLS, ID 83404 2024-03-13 No data

Director

Name Role Address Appointed On Resigned On
DONNA O'KELLY Director 2283 S. 55TH W., IDAHO FALLS, ID 83402 2024-03-13 2024-03-13
Jennifer McCulloch Director 1286 N 590 E, SHELLEY, ID 83274 2024-03-13 No data
DIANE KEY Director 2510 W ELDORADO, IDAHO FALLS, ID 83402 2024-03-13 No data
Liz Barnes Director 331 E 25TH ST, IDAHO FALLS, ID 83404 2024-03-13 No data
Cindy Ozaki Director 2569 S BLVD, IDAHO FALLS, ID 83402 2024-03-13 2024-03-13

Secretary

Name Role Address Appointed On Resigned On
Natalie Kern Secretary 1093 S. 25TH ST., IDAHO FALLS, ID 83404 2024-03-13 2024-03-13

Vice President

Name Role Address Appointed On
Bill Sewell Vice President 470 5TH STREET, IDAHO FALLS, ID 83401 2024-03-13

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.

CAGE Code:
76R45
UEI Expiration Date:
2015-08-14

Business Information

Division Name:
HOSPICE OF EASTERN IDAHO
Activation Date:
2014-08-15
Initial Registration Date:
2014-06-06

National Provider Identifier

NPI Number:
1699593376
Certification Date:
2024-10-01

Authorized Person:

Name:
CELESTE ELD
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No
Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2085296981

Form 5500 Series

Employer Identification Number (EIN):
820521891
Plan Year:
2023
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
38
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
38
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006137838 2025-03-03
Annual Report 0005646309 2024-03-13
Annual Report 0005135265 2023-03-03
Annual Report 0004686433 2022-04-04
Annual Report 0004309042 2021-06-07

Tax Exempt

Employer Identification Number (EIN) :
82-0521891
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2000-06
National Taxonomy Of Exempt Entities:
Health Care: Health Support Services
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State