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Mountain Springs Assisted Living Center LLC

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Company Details

Name: Mountain Springs Assisted Living Center LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 Jan 2022 (3 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4585603
Place of Formation: IDAHO
File Number: 803246
ZIP code: 83856
County: Bonner County
Principal Address: 79 STILL MEADOWS DR. PRIEST RIVER, ID 83856
Mailing Address: 79 STILL MEADOWS DR PRIEST RIVER, ID 83856-9436

Agent

Name Role Address
ALTERNATIVE CPA & CONSULTING, LLC Agent 120 S SECOND AVE, SUITE C, SANDPOINT, ID 83864

Member

Name Role Address Appointed On Resigned On
Joshua Benjamin parker Member 79 STILL MEADOW DRIVE, PRIEST RIVERIVER, ID 83856 2024-01-04 2024-01-04
Heather May Parker Member 79 STILL MEADOW DRIVE, PRIEST RIVERIVER, ID 83856 2023-05-02 No data

National Provider Identifier

NPI Number:
1033814363
Certification Date:
2023-04-04

Authorized Person:

Name:
HEATHER PARKER
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006179642 2025-04-01
Annual Report 0005541648 2024-01-04
Application for Reinstatement 0005216327 2023-05-02
Dissolution/Revocation - Administrative 0005199211 2023-04-13
Initial Filing 0004585603 2022-01-31

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State