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Signature Hospice Nampa, LLC

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Company Details

Name: Signature Hospice Nampa, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Feb 2021 (4 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 4173542
Place of Formation: IDAHO
File Number: 747497
Principal Address: STE 105 7632 SW DURHAM ROAD TIGARD, OR 97224
Mailing Address: STE 105 7632 SW DURHAM RD TIGARD, OR 97224-7597

Agent

Name Role Address
NATIONAL REGISTERED AGENTS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On
K. Rickard Miller Jr. Manager 25115 SW PARKWAY AVENUE, WILSONVILLE, OR 97070 2022-01-12

National Provider Identifier

NPI Number:
1184208589
Certification Date:
2025-01-21

Authorized Person:

Name:
MARY KOFSTAD
Role:
DIVISION PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
2084617979

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006281531 2025-05-27
Annual Report 0006045730 2025-01-03
Annual Report 0005541244 2024-01-04
Annual Report 0005058021 2023-01-09
Registered Agent Name/Address Change (mass change) 0004903741 2022-09-12

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Date of last update: 23 Jul 2025

Sources: Idaho Secretary of State