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VISTA ASSISTED LIVING, LLC

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Company Details

Name: VISTA ASSISTED LIVING, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Jan 2014 (11 years ago)
Financial Date End: 31 Jan 2021
Date dissolved: 08 Apr 2021
Entity Number: 408725
Place of Formation: IDAHO
File Number: 408725
ZIP code: 83201
County: Bannock County
Principal Address: 114 DAVIS DR POCATELLO, ID 83201
Mailing Address: 114 DAVIS DR POCATELLO, ID 83201-3243

Agent

Name Role Address
steve s ernst Agent 114 DAVIS, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
Steve S. Ernst Manager 114 DAVIS DR, POCATELLO, ID 83201 2020-07-09

National Provider Identifier

NPI Number:
1063723872
Certification Date:
2025-04-09

Authorized Person:

Name:
KASEY WILKS
Role:
DIRECTOR OF CORPORATE COMPLIANCE
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
2084361289
Fax:
2082452138

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004239936 2021-04-08
Application for Reinstatement 0003934736 2020-07-09
Annual Report 0002749181 2015-12-17
Annual Report 0002749179 2014-12-11
Change of Registered Office/Agent/Both (by Entity) 0002749178 2014-06-23

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State