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COMMUNITY LIVING OF IDAHO LLC

Company Details

Name: COMMUNITY LIVING OF IDAHO LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Aug 2024 (10 months ago)
Financial Date End: 31 Aug 2025
Entity Number: 5852669
Place of Formation: IDAHO
File Number: 949709
ZIP code: 83605
County: Canyon County
Principal Address: 3424 STARLIGHT AVE CALDWELL, ID 83605
Mailing Address: 3424 STARLIGHT AVE CALDWELL, ID 83605-6647

Agent

Name Role Address
TRUDY GARRINGER Agent 1301 N 59TH ST, NAMPA, ID 83687

National Provider Identifier

NPI Number:
1508650060
Certification Date:
2025-04-08

Authorized Person:

Name:
PAUL DANIEL FAUTH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006256776 2025-05-15
Initial Filing 0005852669 2024-08-08

Date of last update: 23 May 2025

Sources: Idaho Secretary of State