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CASE MANAGERS OF IDAHO, LLC

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Company Details

Name: CASE MANAGERS OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Jan 2015 (11 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 445183
Place of Formation: IDAHO
File Number: 445183
ZIP code: 83605
County: Canyon County
Principal Address: 19884 AMHERST AVE CALDWELL, ID 83605
Mailing Address: PATRICK KIRK STE 201 6003 W OVERLAND RD BOISE, ID 83709-3076

Agent

Name Role Address
PATRICK KIRK Agent 6003 W OVERLAND RD, STE 201, PATRICK KIRK, BOISE, ID 83709

Manager

Name Role Address Appointed On
Patrick Kirk Manager 6003 W OVERLAND RD, BOISE, ID 83709-3076 2021-04-08

U.S. Small Business Administration Profile

Phone Number:
Fax Number:
208-694-6301
Contact Person:
PATRICK KIRK
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran
User ID:
P2385582
Trade Name:
BEHAVIORAL HEALTH AGENCY A

Unique Entity ID

Unique Entity ID:
KUHPVDHQHD61
CAGE Code:
8CS25
UEI Expiration Date:
2025-04-22

Business Information

Doing Business As:
BEHAVIORAL HEALTH AGENCY A
Division Name:
CASE MANAGERS OF IDAHO
Division Number:
01
Activation Date:
2024-04-23
Initial Registration Date:
2019-07-02

National Provider Identifier

NPI Number:
1366007775
Certification Date:
2024-05-16

Authorized Person:

Name:
MR. PATRICK KIRK
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
2086946301

Filing

Filing Name Filing Number Filing date
Annual Report 0006092207 2025-02-03
Annual Report 0005592134 2024-02-08
Annual Report 0005159352 2023-03-17
Annual Report 0004605013 2022-02-11
Dissolution/Revocation - Administrative 0004239961 2021-04-08

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State