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DOCTOR'S HOSPICE OF IDAHO, LLC

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Company Details

Name: DOCTOR'S HOSPICE OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Jul 2016 (9 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 511677
Place of Formation: IDAHO
File Number: 511677
ZIP code: 83642
County: Ada County
Principal Address: CODY FRESTON STE B 1552 N CRESTMONT DR MERIDIAN, ID 83642
Mailing Address: ASHLEY COPELAND STE B 1552 N CRESTMONT DR MERIDIAN, ID 83642-2193

Agent

Name Role Address
CODY M FRESTON Agent 1552 NORTH CRESTMONT DRIVE STE B, STE B , CODY FRESTON, MERIDIAN, ID 83642

Member

Name Role Address Appointed On
Alex J Papageorge Member 3725 W NORTH PLAIN CITY RD, PLAIN CITY, UT 84404 2024-06-05
Lori R Papageorge Member 3725 W NORTH PLAIN CITY RD, PLAIN CITY, UT 84404 2024-06-05
Cody Freston Member 6832 N TOPAZ JEWEL PLACE, MERIDIAN, ID 83646 2021-07-13

National Provider Identifier

NPI Number:
1871946483
Certification Date:
2022-12-13

Authorized Person:

Name:
CODY MATTHEW FRESTON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
2089852261

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006125954 2025-02-24
Amendment to Certificate 0005960574 2024-11-04
Annual Report 0005761783 2024-06-05
Annual Report 0005269265 2023-06-06
Annual Report 0004766998 2022-06-03

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
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:
192000.00
Total Face Value Of Loan:
192000.00
Date:
2019-11-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
50000.00
Total Face Value Of Loan:
150000.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
192000
Current Approval Amount:
192000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
193100.5

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State