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Lewiston Center of Cascadia, LLC

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Company Details

Name: Lewiston Center of Cascadia, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 30 Dec 2021 (3 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 4544887
Place of Formation: DELAWARE
File Number: 797726
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 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Member

Name Role Address Appointed On
Cascadia Idaho Operations, LLC Member 2205 E RIVERSIDE DR, EAGLE, ID 83616-7621 2022-11-14

National Provider Identifier

NPI Number:
1558022319
Certification Date:
2024-05-24

Authorized Person:

Name:
OWEN HAMMOND
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005969301 2024-11-06
Annual Report 0005492040 2023-12-01
Annual Report 0004992868 2022-11-14
Registered Agent Name/Address Change (mass change) 0004909161 2022-09-12
Initial Filing 0004544887 2021-12-30

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Date of last update: 20 May 2025

Sources: Idaho Secretary of State