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LAKESIDE RESIDENTIAL CARE, INC.

Company Details

Name: LAKESIDE RESIDENTIAL CARE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Nov 2007 (18 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 532144
Place of Formation: IDAHO
File Number: 532144
ZIP code: 83501
County: Nez Perce County
Mailing Address: PO BOX 874 LEWISTON, ID 83501-0874

Agent

Name Role Address
BRIAN J BAGLEY Agent 15241 WESTSIDE LANE, LEWISTON, ID 83501

President

Name Role Address Appointed On Resigned On
Brian Bagley President 15241 WESTSIDE LN, LEWISTON, ID 83501 2022-10-03 No data
Brian Bagley President 3525 18TH STREET, LEWISTON, ID 83501 2020-10-06 2022-10-03

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
N1R7EBFLV8L7
CAGE Code:
9AZN9
UEI Expiration Date:
2023-05-24

Business Information

Activation Date:
2022-06-07
Initial Registration Date:
2022-05-24

National Provider Identifier

NPI Number:
1700672045
Certification Date:
2025-04-15

Authorized Person:

Name:
BRIAN J BAGLEY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005932441 2024-10-07
Annual Report 0005421657 2023-10-03
Annual Report 0004931404 2022-10-03
Annual Report 0004440103 2021-10-06
Annual Report 0004026271 2020-10-06

USAspending Awards / Financial Assistance

Date:
2021-02-25
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:
829942.00
Total Face Value Of Loan:
829942.00
Date:
2020-04-14
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:
748512.68
Total Face Value Of Loan:
748512.68
Date:
2011-07-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
138000.00
Total Face Value Of Loan:
127000.00

Paycheck Protection Program

Date Approved:
2021-02-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
829942
Current Approval Amount:
829942
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
835217.25
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
748512.68
Current Approval Amount:
748512.68
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
754213.68

Date of last update: 13 May 2025

Sources: Idaho Secretary of State