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CAPITOL HEALTHCARE, INC.

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Company Details

Name: CAPITOL HEALTHCARE, INC.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 28 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 608147
Place of Formation: NEVADA
File Number: 608147
ZIP code: 83616
County: Ada County
Principal Address: SUITE 150 1675 E. RIVERSIDE DR. EAGLE, ID 83616
Mailing Address: STE 150 1675 E RIVERSIDE DR EAGLE, ID 83616-7584

Agent

Name Role Address
UNIVERSAL REGISTERED AGENTS, INC. Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Director

Name Role Address Appointed On Resigned On
Brent Guerisoli Director 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2024-03-20 2024-03-20
Daniel Walker Director 1675 E RIVERSIDE DRIVE SUITE 150, EAGLE, ID 83616 2021-02-03 2023-03-15

President

Name Role Address Appointed On Resigned On
John Gochnour President 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2024-03-20 No data
Brian Wayment President 1675 E RIVERSIDE DRIVE SUITE 150, EAGLE, ID 83616 2023-03-15 2024-03-20

Treasurer

Name Role Address Appointed On Resigned On
Lee Johnson Treasurer 1675 E RIVERSIDE DRIVE SUITE 150, EAGLE, ID 83616 2024-03-20 2024-03-20

Secretary

Name Role Address Appointed On
Elliot McMillan Secretary 1675 E RIVERSIDE DRIVE SUITE 150, EAGLE, ID 83616 2024-03-20

National Provider Identifier

NPI Number:
1164816617
Certification Date:
2023-05-18

Authorized Person:

Name:
LEE JOHNSON
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006157251 2025-03-12
Change of Registered Office/Agent/Both (by Entity) 0005819183 2024-07-14
Change of Registered Office/Agent/Both (by Entity) 0005800997 2024-07-04
Amendment of Foreign Registration Statement 0005709438 2024-05-01
Annual Report 0005655211 2024-03-20

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State