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Momba Home Care Idaho, LLC

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Company Details

Name: Momba Home Care Idaho, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 17 Jul 2024 (a year ago)
Financial Date End: 31 Jul 2025
Date dissolved: 01 Dec 2024
Entity Number: 5823428
Place of Formation: IDAHO
File Number: 946485
ZIP code: 83702
County: Ada County
Principal Address: SUITE 1100 950 W. BANNOCK STREET BOISE, ID 83702
Mailing Address: STE 250 5500 INTERSTATE NORTH PKWY SANDY SPRINGS, GA 30328-4690

Agent

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

National Provider Identifier

NPI Number:
1346078656
Certification Date:
2025-05-29

Authorized Person:

Name:
ELAZAR HUISMAN
Role:
NPI MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006284963 2025-05-27
Statement of Dissolution 0005994941 2024-11-27
Initial Filing 0005823428 2024-07-17

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State