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Huckleberry Hospice, LLC

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Company Details

Name: Huckleberry Hospice, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Inactive-Withdrawn
Date of registration: 21 Dec 2021 (4 years ago)
Financial Date End: 31 Dec 2022
Date dissolved: 20 May 2022
Entity Number: 4537724
Place of Formation: DELAWARE
File Number: 796684
ZIP code: 83616
County: Ada County
Principal Address: STE 100 2205 E RIVERSIDE DR EAGLE, ID 83616-7621

National Provider Identifier

NPI Number:
1437819521
Certification Date:
2021-12-30

Authorized Person:

Name:
OWEN HAMMOND
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Withdrawal of Foreign Registration Statement 0004755587 2022-05-20
Initial Filing 0004537724 2021-12-21

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State