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PAYETTE OF CASCADIA, LLC

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Company Details

Name: PAYETTE OF CASCADIA, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 24 Jun 2016 (9 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 510669
Place of Formation: DELAWARE
File Number: 510669
ZIP code: 83616
County: Ada County
Principal Address: LEGAL STE 205 408 S EAGLE RD EAGLE, ID 83616-6079
Mailing Address: STE 100 2205 E RIVERSIDE DR EAGLE, ID 83616-7621

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Member

Name Role Address Appointed On
CASCADIA IDAHO OPERATIONS, LLC Member 2205 E RIVERSIDE DR, EAGLE, ID 83616-7621 2021-06-11

Unique Entity ID

Unique Entity ID:
V8LJEN1FJ9K5
CAGE Code:
8TDV6
UEI Expiration Date:
2026-05-27

Business Information

Activation Date:
2025-05-29
Initial Registration Date:
2020-10-02

National Provider Identifier

NPI Number:
1235683806
Certification Date:
2024-05-24

Authorized Person:

Name:
OWEN HAMMOND
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8443623862

Filing

Filing Name Filing Number Filing date
Annual Report 0006290870 2025-06-02
Registered Agent Name/Address Change (mass change) 0006283404 2025-05-27
Annual Report 0005787769 2024-06-24
Annual Report 0005294955 2023-06-28
Registered Agent Name/Address Change (mass change) 0004908776 2022-09-12

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26023D0027
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
1500000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-07-01
Description:
COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26021K0039
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
2919.90
Base And Exercised Options Value:
2919.90
Base And All Options Value:
2919.90
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-04-01
Description:
EXPRESS REPORT: POP 04/01/2020 TO 04/30/2020
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014A0083
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-05-01
Description:
COMMUNITY NURSING HOME SERVICES. NOVATION AGREEMENT SUNBRIDGE PAYETTE STATION 531
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

USAspending Awards / Financial Assistance

Date:
2020-06-19
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:
343100.00
Total Face Value Of Loan:
343100.00

Paycheck Protection Program

Jobs Reported:
46
Initial Approval Amount:
$343,100
Date Approved:
2020-06-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$343,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$346,445.22
Servicing Lender:
BOKF, National Association
Use of Proceeds:
Payroll: $343,100

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State