GUARDIAN HEALTHCARE PROVIDERS, INC.
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| Name: | GUARDIAN HEALTHCARE PROVIDERS, INC. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Business Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 15 Apr 2016 (9 years ago) |
| Financial Date End: | 30 Apr 2026 |
| Entity Number: | 627339 |
| Place of Formation: | TENNESSEE |
| File Number: | 627339 |
| Principal Address: | 105 WESTPARK DR STE 100 BRENTWOOD, TN 37027 |
| Mailing Address: | SUITE 100 105 WESTPARK DR. BRENTWOOD, TN 37027 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| JAKE DIXON | President | 105 WESTPARK DR., BRENTWOOD, TN 37027 | 2025-04-18 | No data |
| Jake Dixon | President | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2024-04-12 | 2024-04-12 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 1305 12TH AVE RD, NAMPA, ID 83686 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Mark Siegel | Vice President | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2024-04-12 | 2024-04-12 |
| Larry Tarschis | Vice President | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2024-04-12 | No data |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Larry Tarschis | Director | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2024-04-12 | 2024-04-12 |
| Brandon Deger | Director | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2024-04-12 | 2024-04-12 |
| David Malm | Director | 1000 WINTER STREET, WALTHAM, MA 02451 | 2021-04-30 | 2022-05-19 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Mehran Ahmed | Treasurer | 999 N. PACIFIC HIGHWAY, EL SEGUNDO, CA 90245 | 2022-05-19 | 2023-04-17 |
| Erik Miller | Treasurer | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2023-04-17 | No data |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Brandon Deger | Secretary | 2041 ROSECRANS AVE, EL SEGUNDO, CA 90245 | 2024-04-12 | 2024-04-12 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006212198 | 2025-04-18 |
| Annual Report | 0005689218 | 2024-04-12 |
| Annual Report | 0005204016 | 2023-04-17 |
| Annual Report | 0004752864 | 2022-05-19 |
| Registered Agent Name/Address Change (mass change) | 0004645485 | 2022-03-08 |
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Date of last update: 05 Jul 2025
Sources: Idaho Secretary of State