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IVY COURT-COEUR D'ALENE, LLC

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Company Details

Name: IVY COURT-COEUR D'ALENE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Jul 2017 (8 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 561255
Place of Formation: IDAHO
File Number: 561255
Principal Address: 11600 W WASHINGTON BLVD LOS ANGELES, CA 90066
Mailing Address: STE 100 3220 ROSEDALE ST GIG HARBOR, WA 98335-1837

Agent

Name Role Address
NATIONAL REGISTERED AGENTS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
DOV JACOBS Manager 3220 ROSEDALE ST NW, GIG HARBOR, WA 98335-1837 2020-07-30 2021-05-27
CHAIM WOLMARK Manager 3220 ROSEDALE ST, STE 200, GIG HARBOR, WA 98335 2024-06-11 No data
PNW HEALTHCARE HOLDINGS, LLC Manager 3220 ROSEDALE ST, STE 200, GIG HARBOR, WA 98335 2023-06-21 2024-06-11

Member

Name Role Address Appointed On Resigned On
PNW Healthcare Holdings, LLC Member 3220 ROSEDALE STREET NW, GIG HARBOR, WA 98335 2021-05-27 2021-06-03
PNW HEALTHCARE HOLDINGS, LLC Member 3220 ROSEDALE ST, STE 200, GIG HARBOR, WA 98335 2021-06-03 2024-06-11

U.S. Small Business Administration Profile

Phone Number:
253-251-9021
E-mail Address:
samregistration@calderacare.com
Fax Number:
253-200-5644
Contact Person:
BEN SCHNEIDER
User ID:
P2288048

Unique Entity ID

Unique Entity ID:
JL6RGKM67139
CAGE Code:
81VS3
UEI Expiration Date:
2026-05-22

Business Information

Activation Date:
2025-05-26
Initial Registration Date:
2018-01-04

Commercial and government entity program

CAGE number:
81VS3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-26
CAGE Expiration:
2030-05-26
SAM Expiration:
2026-05-22

Contact Information

POC:
BEN SCHNEIDER

National Provider Identifier

NPI Number:
1518470343
Link:
View on NPI website

Authorized Person:

Name:
DOV E JACOBS
Role:
MANAGER
Phone:
3236784426

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 208-667-6486

Filing

Filing Name Filing Number Filing date
Annual Report 0006321646 2025-06-17
Registered Agent Name/Address Change (mass change) 0006281444 2025-05-27
Annual Report 0005773532 2024-06-11
Annual Report 0005289940 2023-06-21
Registered Agent Name/Address Change (mass change) 0004903618 2022-09-12

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26020K0193
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
109673.90
Base And Exercised Options Value:
109673.90
Base And All Options Value:
109673.90
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-02-01
Description:
EXPRESS REPORT:CNH IVY COURT POP 668: 02/01/2020-03/31/2020
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26020K0191
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
131212.40
Base And Exercised Options Value:
131212.40
Base And All Options Value:
131212.40
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
EXPRESS REPORT: CNH IVY COURT POP 10/01/2019-11/30/2019
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26020K0180
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
131212.40
Base And Exercised Options Value:
131212.40
Base And All Options Value:
131212.40
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
EXPRESS REPORT: POPCNH IVY COURT EXPRESS 10/01/2019-11/30/2019
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

USAspending Awards / Financial Assistance

Date:
2021-05-07
Link:
View on USAspending
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:
770793.79
Total Face Value Of Loan:
770793.79

Paycheck Protection Program

Jobs Reported:
59
Initial Approval Amount:
$770,793.79
Date Approved:
2021-05-07
Loan Status:
Exemption 4
SBA Guaranty Percentage:
100
Current Approval Amount:
$770,793.79
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
American Lending Center
Use of Proceeds:
Payroll: $770,787.79
Utilities: $1

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Related by address

11600 W WASHINGTON BLVD LOS ANGELES, CA 90066

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STE 100 3220 ROSEDALE ST GIG HARBOR, WA 98335-1837

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Date of last update: 07 Sep 2025

Sources: Idaho Secretary of State

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