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ALLEGIANT HEALTH LLC

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Company Details

Name: ALLEGIANT HEALTH LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 Mar 2015 (10 years ago)
Financial Date End: 31 Mar 2025
Date dissolved: 07 Jun 2025
Entity Number: 454186
Place of Formation: IDAHO
File Number: 454186
ZIP code: 83686
County: Canyon County
Principal Address: 210 12TH AVE RD NAMPA, ID 83686
Mailing Address: LACY HAZEL 210 12TH AVE RD NAMPA, ID 83686-5013

Agent

Name Role Address
JOE HAZEL Agent 1112 W MAIN ST, STE 605, BOISE, ID 83702

Manager

Name Role Address Appointed On
Lacy L Hazel Manager 210 12TH AVE RD, NAMPA, ID 83686-5013 2021-06-21
Jennifer L Gould Manager 210 12TH AVE RD, NAMPA, ID 83686-5013 2024-02-20

Member

Name Role Address Appointed On
Lacy L Hazel Member 210 12TH AVE RD, NAMPA, ID 83686-5013 2024-02-20

National Provider Identifier

NPI Number:
1659861227

Authorized Person:

Name:
MRS. TRACY LOUISE BERRY
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
2084660985

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006303745 2025-06-07
Annual Report 0005608501 2024-02-20
Annual Report 0005106140 2023-02-09
Annual Report 0004603371 2022-02-10
Application for Reinstatement 0004317526 2021-06-21

USAspending Awards / Financial Assistance

Date:
2020-05-11
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:
235700.00
Total Face Value Of Loan:
235700.00

Paycheck Protection Program

Jobs Reported:
75
Initial Approval Amount:
$235,700
Date Approved:
2020-05-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$235,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$237,314.38
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $235,700

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State