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Sunrise Home Health of Idaho LLC

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Company Details

Name: Sunrise Home Health of Idaho LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Jun 2024 (a year ago)
Financial Date End: 30 Jun 2025
Entity Number: 5784924
Place of Formation: IDAHO
File Number: 942476
ZIP code: 83642
County: Ada County
Principal Address: 1254 EAST PUFFIN STREET MERIDIAN, ID 83642
Mailing Address: 1254 E PUFFIN ST MERIDIAN, ID 83642-7453

Agent

Name Role Address
Rachelle Rauma Agent 1254 EAST PUFFIN STREET, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1073357422
Certification Date:
2024-06-20

Authorized Person:

Name:
MRS. RACHELLE RAUMA
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
364SH0200X - Home Health Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005784924 2024-06-19

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State