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Aegis Idaho LLC

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Company Details

Name: Aegis Idaho LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 05 Sep 2024 (a year ago)
Financial Date End: 30 Sep 2026
Entity Number: 5885674
Place of Formation: UTAH
File Number: 953765
ZIP code: 83263
County: Franklin County
Principal Address: MELISSA FESER 30 NORTH STATE STREET PRESTON, ID 83263
Mailing Address: GIA HAYCOCK 350 EAST 2200 NORTH NORTH LOGAN, UT 84341

Agent

Name Role Address
Brett Evanson Agent 885 EAST 11200 NORTH, MALAD CITY, ID 83252

Manager

Name Role Address Appointed On
Nicholas Larsen Manager 350 EAST 2200 NORTH, NORTH LOGAN, UT 84341 2025-08-05

National Provider Identifier

NPI Number:
1588483002
Certification Date:
2024-10-09

Authorized Person:

Name:
GREGORY MANGUM
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
4357349819

Filing

Filing Name Filing Number Filing date
Annual Report 0006384487 2025-08-05
Initial Filing 0005885674 2024-09-05

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Date of last update: 23 Aug 2025

Sources: Idaho Secretary of State