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UniCare Health Services Of Idaho, LLC

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Company Details

Name: UniCare Health Services Of Idaho, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Jan 2023 (2 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 5061834
Place of Formation: IDAHO
File Number: 857918
ZIP code: 83704
County: Ada County
Principal Address: 2915 N COLE RD BOISE, ID 83704-5917
Mailing Address: 2915 N COLE RD # 102 BOISE, ID 83704-5917

Agent

Name Role Address
Wodefit D Biyaregew Agent 2646 N COOLWATER AVE, N/A, BOISE, ID 83713

Manager

Name Role Address Appointed On
Wodefit D Biyaregew Manager 2646 N COOLWATER AVE, BOISE, ID 83713 2024-01-09
Freddy Nyakulinda Manager 7522 W SOLANO DR, BOISE, ID 83704 2024-01-09
Gebregziabher k Abrehaley sr Manager 510 HAILEE AVE, TWINFALLS, ID 83301 2024-01-09

National Provider Identifier

NPI Number:
1750077269
Certification Date:
2023-04-17

Authorized Person:

Name:
WODEFIT BIYAREGEW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006223218 2025-04-28
Dissolution/Revocation - Administrative 0006220119 2025-04-26
Annual Report 0005552956 2024-01-09
Amendment to Certificate 0005310108 2023-07-07
Initial Filing 0005061834 2023-01-11

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State