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  5. MERIDIAN HEALTHCARE LLC

MERIDIAN HEALTHCARE LLC

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Company Details

Name: MERIDIAN HEALTHCARE LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 23 May 2018 (7 years ago)
Financial Date End: 31 May 2026
Entity Number: 635337
Place of Formation: NEVADA
File Number: 635337
ZIP code: 83642
County: Ada County
Principal Address: 1351 W PINE AVE MERIDIAN, ID 83642-2010

Agent

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

Manager

Name Role Address Appointed On Resigned On
TYLER HOOPES Manager 29222 RANCHO VIEJO RD., SAN JUAN CAPISTRANO, CA 92675 2022-04-19 2024-04-23
Steve Farnsworth Manager 29222 RANCHO VIEJO RD., SAN JUAN CAPISTRANO, CA 92675 2024-04-23 No data

Treasurer

Name Role Address Appointed On Resigned On
Soon Burnam Treasurer 29222 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675 2021-05-18 2022-04-19

U.S. Small Business Administration Profile

Phone Number:
208-250-7569
E-mail Address:
Credentialing@EnsignServices.net
Contact Person:
TONIA MAREZ
User ID:
P2342500
Trade Name:
CREEKSIDE TRANSITIONAL CARE AND REHABILITATION

National Provider Identifier

NPI Number:
1699251058
Certification Date:
2022-09-14
Link:
View on NPI website

Authorized Person:

Name:
SOON BURNAM
Role:
TREASURER
Phone:
2088887049

Taxonomy:

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

Contacts:

Phone:
+1 208-888-7049

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006265789 2025-05-27
Annual Report 0006216472 2025-04-23
Annual Report 0005702140 2024-04-23
Annual Report 0005232475 2023-05-08
Registered Agent Name/Address Change (mass change) 0004907262 2022-09-12

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26023D0078
Link:
View Award on USAspending website
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
750000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-09-13
Description:
COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26019K0437
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
22352.55
Base And Exercised Options Value:
22352.55
Base And All Options Value:
22352.55
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-05-01
Description:
EXPRESS REPORT: COMMUNITY NURSING HOME SERVICES, 5/1-31/2019
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26019K0363
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
25996.76
Base And Exercised Options Value:
25996.76
Base And All Options Value:
25996.76
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-04-01
Description:
EXPRESS REPORT: COMMUNITY NURSING HOME SERVICES, 4/1-30/2019
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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TYLER HOOPES

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Soon Burnam

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Steve Farnsworth

GEM HEALTHCARE, INC. HOMEDALE HEALTHCARE, INC. MAGIC VALLEY SENIOR LIVING, INC. CANYON SPRINGS SENIOR LIVING, INC. TREASURE VALLEY SENIOR LIVING, INC. VALLEY VIEW HEALTH SERVICES, INC. MIDLAND NAMPA HEALTHCARE LLC BENNETT HEALTHCARE LLC MCCALL HEALTHCARE LLC

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State

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