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Table Rock Senior Living LLC

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Company Details

Name: Table Rock Senior Living LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 02 Mar 2022 (3 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4605954
Place of Formation: NEVADA
File Number: 805602
ZIP code: 83616
County: Ada County
Principal Address: SUITE 150 1675 E. RIVERSIDE DRIVE EAGLE, ID 83616
Mailing Address: STE 150 1675 E RIVERSIDE DR EAGLE, ID 83616-7584

Agent

Name Role Address
UNIVERSAL REGISTERED AGENTS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On
Andrew Rider Manager 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2023-03-15

National Provider Identifier

NPI Number:
1407502297
Certification Date:
2022-03-01

Authorized Person:

Name:
LEE JOHNSON
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006288188 2025-05-29
Annual Report 0006157254 2025-03-12
Change of Registered Office/Agent/Both (by Entity) 0005818999 2024-07-13
Change of Registered Office/Agent/Both (by Entity) 0005801027 2024-07-04
Annual Report 0005655247 2024-03-20

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State