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Lifeline Support Services LLC

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Company Details

Name: Lifeline Support Services LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Aug 2024 (a year ago)
Financial Date End: 31 Aug 2025
Entity Number: 5864962
Place of Formation: IDAHO
File Number: 951205
ZIP code: 83687
County: Canyon County
Principal Address: 16887 NORTH CORNWALLIS WAY NAMAP, ID 83687
Mailing Address: 16887 N CORNWALLIS WAY NAMPA, ID 83687-8257

Agent

Name Role Address
Abdikadir Osman Agent 16887 N CORNWALLIS WAY, NAMPA, ID 83687

National Provider Identifier

NPI Number:
1376334011
Certification Date:
2025-06-19

Authorized Person:

Name:
ABDIKADIRS OSMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005864962 2024-08-19

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Date of last update: 23 Aug 2025

Sources: Idaho Secretary of State