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HEALTH SPARK, LLC

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Company Details

Name: HEALTH SPARK, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Jan 2016 (9 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 490242
Place of Formation: IDAHO
File Number: 490242
ZIP code: 83646
County: Ada County
Principal Address: STE 110 4601 N SUMMIT WAY MERIDIAN, ID 83646-5017
Mailing Address: RUSSELL ALLEN STE 110 4601 N SUMMIT WAY MERIDIAN, ID 83646-5017

Agent

Name Role Address
RUSSELL C ALLEN Agent 4601 N SUMMIT WAY, 110, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Russell C. Allen Manager 4043 N. ZION PARK WAY, MERIDIAN, ID 83646 2020-12-27

National Provider Identifier

NPI Number:
1205618840
Certification Date:
2023-10-23

Authorized Person:

Name:
RUSSELL ALLEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006222550 2025-04-28
Dissolution/Revocation - Administrative 0006218079 2025-04-25
Annual Report 0005501059 2023-12-05
Annual Report 0005031106 2022-12-15
Annual Report 0004529334 2021-12-14

USAspending Awards / Financial Assistance

Date:
2021-02-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-34500.00
Total Face Value Of Loan:
0.00
Date:
2020-06-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
40000.00
Total Face Value Of Loan:
303700.00

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State