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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 2026
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 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Treasurer

Name Role Address Appointed On Resigned On
Soon Burnam Treasurer 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675 2023-06-29 2024-06-05

President

Name Role Address Appointed On Resigned On
Steve Farnsworth President 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2023-06-29 2024-06-05
Isaiah Hawkins President 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2024-06-05 No data

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 Resigned On
Tyler Hoopes Director 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2023-06-29 2024-06-05
Steve Farnsworth Director 29222 RANCHO VIEJO RD. #127, SAN JUAN CAPISTRANO, CA 92675 2024-06-05 No data

U.S. Small Business Administration Profile

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 0006332845 2025-06-30
Registered Agent Name/Address Change (mass change) 0006266999 2025-05-27
Annual Report 0005761697 2024-06-05
Annual Report 0005296939 2023-06-29
Registered Agent Name/Address Change (mass change) 0004908044 2022-09-12

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: 04 Jul 2025

Sources: Idaho Secretary of State