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Copper Falls Hospice, LLC

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Company Details

Name: Copper Falls Hospice, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Aug 2023 (2 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 5362367
Place of Formation: IDAHO
File Number: 893223
ZIP code: 83702
County: Ada County
Principal Address: SUITE 1100 950 BANNOCK STREET BOISE, ID 83702
Mailing Address: SUITE 140 C/O PURSUE HEALTH 400 EXCHANGE IRVINE, CA 92602

Agent

Name Role Address
VCORP AGENT SERVICES, INC. Agent 1555 W SHORELINE DR, STE 1000, BOISE, ID 83702

Manager

Name Role Address Appointed On
Max DL, LLC Manager C/O PURSUE HEALTH, 400 EXCHANGE, IRVINE, CA 92602 2024-07-08

National Provider Identifier

NPI Number:
1881468189
Certification Date:
2023-11-07

Authorized Person:

Name:
JOSE LYNCH
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005811654 2024-07-08
Initial Filing 0005362367 2023-08-14

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Date of last update: 21 May 2025

Sources: Idaho Secretary of State