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Mason Park Healthcare, Inc.

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Company Details

Name: Mason Park Healthcare, Inc.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 03 Mar 2025 (5 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6137643
Place of Formation: NEVADA
File Number: 981136
Principal Address: 210 WEST LACROSSE AVENUE COEUR D'ALENE, ID 86814
Mailing Address: STE 127 29222 RANCHO VIEJO RD SAN JUAN CAPISTRANO, CA 92675-1049

Agent

Name Role Address
COGENCY GLOBAL INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

National Provider Identifier

NPI Number:
1487453494
Certification Date:
2025-05-27

Authorized Person:

Name:
SOON BURNAM
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006267664 2025-05-27
Initial Filing 0006137643 2025-03-03

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Date of last update: 28 Jul 2025

Sources: Idaho Secretary of State