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HEALTHY LIVING AT HOME - BOISE, LLC

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Company Details

Name: HEALTHY LIVING AT HOME - BOISE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 01 Mar 2018 (7 years ago)
Financial Date End: 31 Mar 2022
Date dissolved: 05 Feb 2021
Entity Number: 593990
Place of Formation: IDAHO
File Number: 593990
ZIP code: 83642
County: Ada County
Principal Address: 2950 MAGIC VIEW DR STE 150 MERIDIAN, ID 83642
Mailing Address: STE 150 2950 E MAGIC VIEW DR MERIDIAN, ID 83642-6253

Agent

Name Role Address
UNITED STATES CORPORATION AGENTS INC Agent 800 W MAIN ST STE 1460, BOISE, ID 83702

Manager

Name Role Address Appointed On
Caroline Breeding Manager E. MAGIC VIEW DR., MERIDIAN, ID 83642 2021-02-04

National Provider Identifier

NPI Number:
1518462555
Certification Date:
2020-03-31

Authorized Person:

Name:
JULIO QUINONES
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2084933019

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004165845 2021-02-05
Application for Reinstatement 0004164505 2021-02-04
Dissolution/Revocation - Administrative 0003897242 2020-06-04
Annual Report 0003466976 2019-03-29
Legacy Amendment 0000936388 2018-06-15

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State