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HEALING SANCTUARY LLC (THE)

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Company Details

Name: HEALING SANCTUARY LLC (THE)
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Sep 2016 (9 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 519798
Place of Formation: IDAHO
File Number: 519798
ZIP code: 83404
County: Bonneville County
Principal Address: 187 E 13TH ST IDAHO FALLS, ID 83404
Mailing Address: JEFFREY B BAKER 187 E 13TH ST IDAHO FALLS, ID 83404-5305

Agent

Name Role Address
STEPHEN H TELFORD Agent 208 12TH AVE RD, NAMPA, ID 83404

Manager

Name Role Address Appointed On
Marcell Baker Manager 187 E 13TH STREET, IDAHO FALLS, ID 83404 2023-08-03
Jeffrey B Baker Manager 187 E 13TH STREET, IDAHO FALLS, ID 83404 2020-08-14

National Provider Identifier

NPI Number:
1346799483
Certification Date:
2023-12-19

Authorized Person:

Name:
BECKY WATSON
Role:
BILLING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084970505

Filing

Filing Name Filing Number Filing date
Annual Report 0005839774 2024-08-05
Annual Report 0005345898 2023-08-03
Annual Report 0004856910 2022-08-11
Annual Report 0004443000 2021-10-10
Annual Report 0003972759 2020-08-14

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$219,900
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$159,500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$160,741.04
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $159,500

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State