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Independence Care of Idaho LLC

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Company Details

Name: Independence Care of Idaho LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Nov 2023 (2 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 5489177
Place of Formation: IDAHO
File Number: 909169
ZIP code: 83702
County: Ada County
Principal Address: 950 W BANNOCK ST STE 1100 BOISE, ID 83702
Mailing Address: STE 1100 950 W BANNOCK ST BOISE, ID 83702-6140

Agent

Name Role Address
UNITED STATES CORPORATION AGENTS INC Agent 800 W MAIN ST STE 1460, BOISE, ID 83702

Manager

Name Role Address Appointed On
Philip Viar Manager 950 W BANNOCK ST STE 1100, BOISE, ID 83702 2024-11-19

National Provider Identifier

NPI Number:
1790546273
Certification Date:
2024-01-22

Authorized Person:

Name:
DOMINICK TROIANO
Role:
DIRECTOR OF GOVERNMENT AFFAIRS
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fax:
4123123828

Filing

Filing Name Filing Number Filing date
Annual Report 0005988353 2024-11-19
Initial Filing 0005489177 2023-11-28

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State