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LifeHouse Healthcare PLLC

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Company Details

Name: LifeHouse Healthcare PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Apr 2023 (2 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 5192757
Place of Formation: IDAHO
File Number: 873285
ZIP code: 83814
County: Kootenai County
Principal Address: SUITE 1 212 S. 11TH ST. COEUR D'ALENE, ID 83814
Mailing Address: 1 212 S 11TH ST COUER D'ALENE, ID 83814

Agent

Name Role Address
Carlo Orozco Agent 11393 N ROCKING R RD, HAYDEN, ID 83835

Member

Name Role Address Appointed On Resigned On
Brad Smedley Member 212 S 11TH ST., COEUR D'ALENE, ID 83814 2023-05-23 2024-04-08
Carlo Orozco Member 212 S. 11TH ST., COEUR D'ALENE, ID 83814 2024-04-08 No data

National Provider Identifier

NPI Number:
1467142315
Certification Date:
2023-11-01

Authorized Person:

Name:
MR. CARLO R OROZCO
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086688213
Fax:
9514662426

Filing

Filing Name Filing Number Filing date
Annual Report 0006245045 2025-05-07
Change of Registered Office/Agent/Both (by Entity) 0006004798 2025-01-02
Amendment to Certificate 0006004799 2024-12-03
Annual Report 0005682932 2024-04-08
Amendment to Certificate 0005248987 2023-05-23

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State