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GRACE MEMORY CARE AT STATE STREET, LLC

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Company Details

Name: GRACE MEMORY CARE AT STATE STREET, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Mar 2017 (8 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 545901
Place of Formation: IDAHO
File Number: 545901
ZIP code: 83704
County: Ada County
Principal Address: 890 N COLE RD BOISE, ID 83704
Mailing Address: JANA PATTON 890 N COLE RD BOISE, ID 83704-8638

Agent

Name Role Address
LINDA HINES Agent 890 N COLE RD, BOISE, ID 83704

Member

Name Role Address Appointed On Resigned On
Grace Memory Care at State Street Member 890 N COLE ROAD, BOISE, ID 83704 2022-02-04 No data
LCA LLC Member 890 N COLE ROAD, BOISE, ID 83704 2021-02-10 2022-02-04

National Provider Identifier

NPI Number:
1164046413
Certification Date:
2020-06-02

Authorized Person:

Name:
LINDA HINES
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006091320 2025-02-03
Annual Report 0005587229 2024-02-06
Annual Report 0005090357 2023-02-03
Annual Report 0004595650 2022-02-04
Annual Report 0004171396 2021-02-10

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
119566.78
Total Face Value Of Loan:
119566.78

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
119566.78
Current Approval Amount:
119566.78
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
120336.59

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State