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Creekside Care LLC

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Company Details

Name: Creekside Care LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Dec 2024 (8 months ago)
Financial Date End: 31 Dec 2025
Entity Number: 6002851
Place of Formation: IDAHO
File Number: 966316
ZIP code: 83338
County: Jerome County
Principal Address: 222 6TH AVE WEST JEROME, ID 83338
Mailing Address: CREEKSIDE CARE 4423 N 1600 E BUHL, ID 83316-5326

Agent

Name Role Address
Ryan Bowden Agent 4423 N 1600 E, BUHL, ID 83316

National Provider Identifier

NPI Number:
1548053754
Certification Date:
2025-05-28

Authorized Person:

Name:
MR. RYAN DAVID BOWDEN
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006002851 2024-12-03

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Date of last update: 12 Jul 2025

Sources: Idaho Secretary of State