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COMMUNITY PCS, LLC

Company Details

Name: COMMUNITY PCS, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Apr 2015 (10 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 458291
Place of Formation: IDAHO
File Number: 458291
ZIP code: 83404
County: Bonneville County
Principal Address: 2184 CHANNING WAY #463 IDAHO FALLS, ID 83404
Mailing Address: 2184 CHANNING WAY # 463 IDAHO FALLS, ID 83404-8034

Agent

Name Role Address
Daniel Packard Agent 1000 RIVER WALK DR, 100, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Brandon Bluemel Manager C/O SEEDALL LAW OFFICE PC, IDAHO FALLS, ID 83401 2021-04-08

National Provider Identifier

NPI Number:
1003202136

Authorized Person:

Name:
RICHARD K NEBEKER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2085240686

Filing

Filing Name Filing Number Filing date
Annual Report 0006140798 2025-03-04
Annual Report 0005635071 2024-03-05
Annual Report 0005130741 2023-03-02
Annual Report 0004650165 2022-03-09
Amendment to Certificate 0004368955 2021-08-04

Date of last update: 11 May 2025

Sources: Idaho Secretary of State