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AgeWell Connections LLC

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Company Details

Name: AgeWell Connections LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Jun 2024 (a year ago)
Financial Date End: 30 Jun 2025
Entity Number: 5758110
Place of Formation: IDAHO
File Number: 939964
ZIP code: 83401
County: Bonneville County
Principal Address: SUITE E 5533 RAMMELL ROAD IDAHO FALLS, ID 83401
Mailing Address: STE D 5676 RAMMELL RD IDAHO FALLS, ID 83401-6770

Agent

Name Role Address
Tyler Drewes Agent 4224 E 100 N, RIGBY, ID 83442

National Provider Identifier

NPI Number:
1003607730
Certification Date:
2025-05-13

Authorized Person:

Name:
ROBERT JAMES JOHNSON
Role:
FOUNDER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
No
Selected Taxonomy:
347B00000X - Bus
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
2082771881
Fax:
2082440040

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006077873 2025-01-22
Initial Filing 0005758110 2024-06-03

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Date of last update: 27 Jul 2025

Sources: Idaho Secretary of State