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ELEVATE HEALTH GROUP PLLC

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Company Details

Name: ELEVATE HEALTH GROUP PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Feb 2015 (10 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 449952
Place of Formation: IDAHO
File Number: 449952
ZIP code: 83646
County: Ada County
Principal Address: 2122 W EVEREST LN MERIDIAN, ID 83646-7033
Mailing Address: PO BOX 2193 BOISE, ID 83701-2193

Agent

Name Role Address
Dana E Clark Agent 5899 PULASKI ST, EAGLE, ID 83616

Manager

Name Role Address Appointed On Resigned On
cory sartin Manager 705 W RUSH CT, EAGLE, ID 83616 2021-01-03 2023-01-03

Member

Name Role Address Appointed On
Dana E Clark Member 2122 W EVEREST LN, MERIDIAN, ID 83646 2025-02-03

National Provider Identifier

NPI Number:
1770963274

Authorized Person:

Name:
DR. CORY M SARTIN
Role:
CLINIC DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
473225995
Plan Year:
2016
Number Of Participants:
5
Sponsors DBA Name:
KEYSTONEPHYSICALMEDICINE
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006091067 2025-02-03
Application for Reinstatement 0005861193 2024-08-14
Dissolution/Revocation - Administrative 0005714819 2024-05-03
Change of Registered Office/Agent/Both (by Entity) 0005092114 2023-02-09
Annual Report 0005044582 2023-01-03

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
65902.92
Total Face Value Of Loan:
65902.92

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$65,902.92
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$65,902.92
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$66,471.67
Servicing Lender:
Idaho First Bank
Use of Proceeds:
Payroll: $65,902.92

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State