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Gemba Boise, LLC

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Company Details

Name: Gemba Boise, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Dec 2024 (7 months ago)
Financial Date End: 31 Dec 2025
Entity Number: 5997275
Place of Formation: IDAHO
File Number: 966063
ZIP code: 83706
County: Ada County
Principal Address: GEMBA BOISE 100 161 E MALLARD DR BOISE, ID 83706
Mailing Address: GEMBA BOISE PO BOX 112 EMMETT, ID 83617-0112

Agent

Name Role Address
Jason Cox Agent 161 E MALLARD DR, 100, BOISE, ID 83706

National Provider Identifier

NPI Number:
1891530820
Certification Date:
2024-07-01

Authorized Person:

Name:
DAMON BERNARD ZIMMERMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006076323 2025-01-21
Initial Filing 0005997275 2024-12-02

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State