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HOMEDALE HEALTHCARE, INC.

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Company Details

Name: HOMEDALE HEALTHCARE, INC.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 26 Jun 2012 (13 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 588969
Place of Formation: NEVADA
File Number: 588969
ZIP code: 83628
County: Owyhee County
Principal Address: 27101 PUERTA REAL STE 450 MISSION VIEJO, CA 92691
Mailing Address: 108 E OWYHEE AVE HOMEDALE, ID 83628

Agent

Name Role Address
COGENCY GLOBAL INC. Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Treasurer

Name Role Address Appointed On
Soon Burnam Treasurer 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675 2023-06-29

President

Name Role Address Appointed On
Steve Farnsworth President 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2023-06-29
Isaiah Hawkins President 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2024-06-05

Secretary

Name Role Address Appointed On
Craig Fitch Secretary 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2021-06-03

Director

Name Role Address Appointed On
Tyler Hoopes Director 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2023-06-29
Steve Farnsworth Director 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2024-06-05

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Contact Person:
LYNN DEAR
User ID:
P2389676
Trade Name:
OWYHEE HEALTH AND REHABILITATION CENTER

National Provider Identifier

NPI Number:
1225390131
Certification Date:
2023-06-21

Authorized Person:

Name:
SOON BURNAM
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005761697 2024-06-05
Annual Report 0005296939 2023-06-29
Registered Agent Name/Address Change (mass change) 0004908044 2022-09-12
Annual Report 0004796884 2022-06-29
Annual Report 0004304555 2021-06-03

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26023D0080
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
100000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-08-01
Description:
COMMUNITY NURSING HOME CARE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26020K0216
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
8800.00
Base And Exercised Options Value:
8800.00
Base And All Options Value:
8800.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
EXPRESS REPORT: POP CNH 531 OWYHEE 10/01/2019 TO 3/31/202
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26019G0021
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-08-09
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State