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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 2025
Entity Number: 561255
Place of Formation: IDAHO
File Number: 561255
Principal Address: 11600 W WASHINGTON BLVD LOS ANGELES, CA 90066
Mailing Address: STE 200 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 No data

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 No data

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Fax Number:
253-200-5644
Contact Person:
BEN SCHNEIDER
User ID:
P2288048

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

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

National Provider Identifier

NPI Number:
1518470343

Authorized Person:

Name:
DOV E JACOBS
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
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
Annual Report 0004782260 2022-06-13

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26020K0193
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
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
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
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

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State