Search icon

Lucky Peak Healthcare, Inc.

Company claim

Is this your business?

Get access!

Company Details

Name: Lucky Peak Healthcare, Inc.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 28 Jun 2021 (4 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 4321100
Place of Formation: NEVADA
File Number: 769097
ZIP code: 83716
County: Elmore County
Principal Address: 3266 EAST BARBER VALLEY DRIVE BOISE, ID 83716
Mailing Address: LICENSING STE 127 29222 RANCHO VIEJO RD SAN JUAN CAPISTRANO, CA 92675-1049

Agent

Name Role Address
COGENCY GLOBAL INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Director

Name Role Address Appointed On Resigned On
Tyler Hoopes Director 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1049 2023-06-29 2024-06-05

President

Name Role Address Appointed On
Steve Farnsworth President 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1049 2022-06-29

Treasurer

Name Role Address Appointed On Resigned On
Soon Burnam Treasurer 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1049 2023-06-29 2024-06-05

Secretary

Name Role Address Appointed On Resigned On
Craig Fitch Secretary 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1049 2023-06-29 2024-06-05

National Provider Identifier

NPI Number:
1922670769
Certification Date:
2021-07-12

Authorized Person:

Name:
SOON BURNAM
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Filing

Filing Name Filing Number Filing date
Annual Report 0006332850 2025-06-30
Registered Agent Name/Address Change (mass change) 0006267345 2025-05-27
Annual Report 0005761707 2024-06-05
Annual Report 0005296943 2023-06-29
Registered Agent Name/Address Change (mass change) 0004908416 2022-09-12

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 Jul 2025

Sources: Idaho Secretary of State