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NORTHERN IDAHO ADVANCED CARE HOSPITAL, INC.

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Company Details

Name: NORTHERN IDAHO ADVANCED CARE HOSPITAL, INC.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 22 Nov 2005 (20 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 496219
Place of Formation: DELAWARE
File Number: 496219
ZIP code: 83854
County: Kootenai County
Principal Address: 7770 JEFFERSON ST NE STE 320 ALBUQUERQUE, NM 87109
Mailing Address: 600 N CECIL RD POST FALLS, ID 83854-6200

President

Name Role Address Appointed On Resigned On
Brad E. Hollinger President 4600 LENA DRIVE, MECHANICSBURG, PA 17055 2020-11-30 2023-06-12
Jacob Socha President 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03

Director

Name Role Address Appointed On Resigned On
Jacob Socha Director 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-06-12 No data
Eudora Cannon Director 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03
Denise Kann Director 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03

Vice President

Name Role Address Appointed On Resigned On
EUDORA CANNON Vice President 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03
DENISE KANN Vice President 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03

Secretary

Name Role Address Appointed On Resigned On
DENISE KANN Secretary 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03

Treasurer

Name Role Address Appointed On Resigned On
CALEB REED Treasurer 1024 N GALLOWAY AVENUE, MESQUITE, TX 75149 2023-10-03 2023-10-03

Agent

Name Role Address
CORPORATE CREATIONS NETWORK INC Agent 950 W BANNOCK ST #1100, BOISE, ID 83702

National Provider Identifier

NPI Number:
1871315796
Certification Date:
2024-10-30

Authorized Person:

Name:
DENISE KANN
Role:
VICE PRESIDENT AND SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
273Y00000X - Rehabilitation Hospital Unit
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005954750 2024-10-31
Annual Report 0005419816 2023-10-03
Annual Report Amendment 0005275961 2023-06-12
Annual Report 0005003896 2022-11-30
Annual Report 0004544937 2021-12-30

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State