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GRANGEVILLE OF CASCADIA, LLC

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Company Details

Name: GRANGEVILLE OF CASCADIA, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 21 Sep 2021 (4 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 4429282
Place of Formation: DELAWARE
File Number: 783986
ZIP code: 83616
County: Ada County
Principal Address: STE 100 2205 E RIVERSIDE DR EAGLE, ID 83616-7621

Agent

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

Manager

Name Role Address Appointed On
CASCADIA IDAHO OPERATIONS LLC Manager 2205 E RIVERSIDE DR, EAGLE, ID 83616 2022-08-22

National Provider Identifier

NPI Number:
1740942622
Certification Date:
2024-05-24

Authorized Person:

Name:
OWEN C HAMMOND
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006283703 2025-05-27
Annual Report 0005901706 2024-09-16
Annual Report 0005352977 2023-08-04
Registered Agent Name/Address Change (mass change) 0004909115 2022-09-12
Annual Report 0004866483 2022-08-22

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State