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Mayo Family Healthcare PLLC

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Company Details

Name: Mayo Family Healthcare PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 615044
Place of Formation: IDAHO
File Number: 615044
ZIP code: 83687
County: Canyon County
Principal Address: BILLIESUE MAYO 5826 NORTH FRANKLIN ROAD NAMPA, ID 83687
Mailing Address: BILLIESUE MAYO 5826 E FRANKLIN RD NAMPA, ID 83687-5020

Agent

Name Role Address
BILLIESUE MAYO Agent 16966 N CHELFORD LOOP, NAMPA, ID 83687

Manager

Name Role Address Appointed On Resigned On
BillieSue Mayo Manager 5826 E FRANKLIN RD, NAMPA, ID 83687 2022-07-13 No data
ANGELA HARDY Manager 5826 E FRANKLIN RD, NAMPA, ID 83687 2021-10-13 2022-07-13

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
HM16PCNTZ6A3
UEI Expiration Date:
2023-05-24

Business Information

Division Name:
MAYO FAMILY HEALTHCARE
Activation Date:
2022-04-26
Initial Registration Date:
2022-04-24

National Provider Identifier

NPI Number:
1770129322
Certification Date:
2022-07-05

Authorized Person:

Name:
BILLIESUE MAYO
Role:
OWNER/NP
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2083181612

Filing

Filing Name Filing Number Filing date
Annual Report 0005721566 2024-05-03
Annual Report 0005244090 2023-05-16
Annual Report 0004821360 2022-07-13
Change of Registered Office/Agent/Both (by Entity) 0004445309 2021-10-13
Application for Reinstatement 0004445313 2021-10-13

USAspending Awards / Financial Assistance

Date:
2021-05-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
34865.00
Total Face Value Of Loan:
34865.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-02-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
149000.00
Total Face Value Of Loan:
149000.00

Paycheck Protection Program

Date Approved:
2021-05-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
34865
Current Approval Amount:
34865
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
35017.05

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Date of last update: 10 Jun 2025

Sources: Idaho Secretary of State