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AHC OF LEWISTON, LLC

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Company Details

Name: AHC OF LEWISTON, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 17 Dec 2015 (10 years ago)
Financial Date End: 31 Dec 2022
Date dissolved: 08 Mar 2023
Entity Number: 485101
Place of Formation: IDAHO
File Number: 485101
ZIP code: 83619
County: Payette County
Principal Address: 215 N WHITLEY DR STE 3 FRUITLAND, ID 83619
Mailing Address: CINDY M STICE 2867 E COPPER POINT DR MERIDIAN, ID 83642-1716

Agent

Name Role Address
CINDY M STICE Agent 2867 EAST COPPER POINT DRIVE, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
New AHC Holdings, LLC Manager 140 N UNION AVE, FARMINGTON, UT 84025 2021-11-29
Advanced Health Care Corporation Manager 140 N UNION AVE, FARMINGTON, UT 84025 2020-11-04

Unique Entity ID

CAGE Code:
8E1D1
UEI Expiration Date:
2020-09-09

Business Information

Division Name:
AHC OF LEWISTON LLC
Activation Date:
2019-09-24
Initial Registration Date:
2019-08-12

Commercial and government entity program

CAGE number:
8E1D1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-01-13
CAGE Expiration:
2026-12-15
SAM Expiration:
2023-01-13

Contact Information

POC:
JAMES R. BURT

National Provider Identifier

NPI Number:
1871042663

Authorized Person:

Name:
MARK EMMETT
Role:
CFO
Phone:

Taxonomy:

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

Contacts:

Fax:
2087487750

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005144646 2023-03-08
Annual Report 0004507673 2021-11-29
Annual Report 0004052129 2020-11-04
Annual Report 0003705365 2019-12-10
Annual Report 0003356661 2018-12-03

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Date of last update: 10 Aug 2025

Sources: Idaho Secretary of State