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Willow Creek Healthcare LLC

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Company Details

Name: Willow Creek Healthcare LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 14 Nov 2024 (8 months ago)
Financial Date End: 30 Nov 2025
Entity Number: 5980786
Place of Formation: NEVADA
File Number: 963832
ZIP code: 83616
County: Ada County
Principal Address: SUITE 150 1675 E. RIVERSIDE DR. EAGLE, ID 83616
Mailing Address: CORP LEGAL SUITE 150 1675 E. RIVERSIDE DR. EAGLE, ID 83616

Agent

Name Role Address
UNIVERSAL REGISTERED AGENTS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

National Provider Identifier

NPI Number:
1447073176
Certification Date:
2024-11-01

Authorized Person:

Name:
AMBER LYNN TUELLER
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006288259 2025-05-29
Initial Filing 0005980786 2024-11-14

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Date of last update: 12 Jul 2025

Sources: Idaho Secretary of State