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Uplift Supported Living LLC

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Company Details

Name: Uplift Supported Living LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Feb 2024 (a year ago)
Financial Date End: 28 Feb 2026
Entity Number: 5599558
Place of Formation: IDAHO
File Number: 920837
ZIP code: 83686
County: Canyon County
Principal Address: 2214 S IVY STREET NAMPA, ID 83686
Mailing Address: 1301 N 59TH STREET NAMPA, ID 83687-8515

Agent

Name Role Address
TRUDY GARRINGER Agent 1301 N 59TH ST, NAMPA, ID 83687

Member

Name Role Address Appointed On
BENITA LLC Member 2723 MARYLAND AVE, NAMPA, ID 83686 2025-01-03

National Provider Identifier

NPI Number:
1588492649
Certification Date:
2024-07-22

Authorized Person:

Name:
ERIKA BALLARD
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006046526 2025-01-03
Amendment to Certificate 0005747321 2024-05-24
Initial Filing 0005599558 2024-02-12

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State