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EDEN HOSPICE AT IDAHO FALLS, LLC

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Company Details

Name: EDEN HOSPICE AT IDAHO FALLS, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 09 Aug 2016 (9 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 515787
Place of Formation: WASHINGTON
File Number: 515787
Principal Address: 4601 NE 77TH AVE STE 300 VANCOUVER, WA 98662
Mailing Address: LEGAL DEPT STE 300 4601 NE 77TH AVE VANCOUVER, WA 98662-6736

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Manager

Name Role Address Appointed On
Michael Miller Manager 4601 NE 77TH AVE, VANCOUVER, WA 98662-6736 2023-08-31
Eden Healthcare Management, LLC Manager 4601 NE 77TH AVE, VANCOUVER, WA 98662-6736 2023-08-31
Brent Weil Manager 4601 NE 77TH AVE, VANCOUVER, WA 98662 2020-07-07

National Provider Identifier

NPI Number:
1669839395

Authorized Person:

Name:
BRENT WEIL
Role:
CEO AND MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
3608825793
Fax:
2085294013

Filing

Filing Name Filing Number Filing date
Annual Report 0005875486 2024-09-01
Annual Report 0005376411 2023-08-31
Registered Agent Name/Address Change (mass change) 0004895474 2022-09-12
Annual Report 0004872892 2022-08-30
Annual Report 0004361858 2021-07-30

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Date of last update: 13 May 2025

Sources: Idaho Secretary of State