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KEYSTONE HOSPICE, LLC

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Company Details

Name: KEYSTONE HOSPICE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Oct 2015 (10 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 477943
Place of Formation: IDAHO
File Number: 477943
ZIP code: 83616
County: Ada County
Principal Address: 868 E RIVERSIDE DR STE 170 EAGLE, ID 83616
Mailing Address: 21 N FISHER PARK WAY EAGLE, ID 83616-4796

Agent

Name Role Address
MARIANNE JENSEN Agent 21 N FISHER PARK WAY, EAGLE, ID 83616

Manager

Name Role Address Appointed On
Keystone Hospice, LLC Manager 21 N FISHER PARK WAY, EAGLE, ID 83616 2020-11-23

Managing Member

Name Role Address Appointed On
Leonard Jensen Managing Member 21 N FISHER PARK WAY, EAGLE, ID 83616 2024-11-04

National Provider Identifier

NPI Number:
1427421114

Authorized Person:

Name:
LEONARD JENSEN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2085497880

Form 5500 Series

Employer Identification Number (EIN):
475491874
Plan Year:
2023
Number Of Participants:
64
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005963277 2024-11-04
Annual Report 0005379500 2023-09-03
Annual Report 0004933325 2022-10-03
Annual Report 0004400369 2021-09-03
Annual Report 0004073505 2020-11-23

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
657800.00
Total Face Value Of Loan:
657800.00

Trademarks Section

Serial Number:
90244977
Mark:
KEYSTONE HOSPICE
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2020-10-09
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
KEYSTONE HOSPICE

Goods And Services

For:
Hospice services
First Use:
2016-04-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
657800
Current Approval Amount:
657800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
667027.22

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State