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COMPLETE HOSPICE CARE OF BOISE LLC

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Company Details

Name: COMPLETE HOSPICE CARE OF BOISE LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Inactive-Revoked (Administrative)
Date of registration: 28 Aug 2014 (11 years ago)
Financial Date End: 31 Aug 2021
Date dissolved: 06 Nov 2021
Entity Number: 431861
Place of Formation: ARIZONA
File Number: 431861
ZIP code: 83642
County: Ada County
Principal Address: 24 W CAMELBACK RD A514 PHOENIX, AZ 85013
Mailing Address: STE 140 1940 S BONITO WAY MERIDIAN, ID 83642-2625

Manager

Name Role Address Appointed On
Charlotte Igo Manager 1940 S. BONITO WAY, MERIDIAN, ID 83642 2020-07-06

National Provider Identifier

NPI Number:
1013317064
Certification Date:
2020-01-08

Authorized Person:

Name:
CHARLOTTE IGO
Role:
BUSINESS PARTNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8888584402

Form 5500 Series

Employer Identification Number (EIN):
471294717
Plan Year:
2019
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
14
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004489138 2021-11-06
Annual Report 0003930574 2020-07-06
Annual Report 0003571298 2019-07-17
Annual Report 0002837644 2018-06-22
Change of Registered Office/Agent/Both (by Entity) 0002837643 2018-02-08

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State