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IDAHO KIDNEY INSTITUTE, LLP

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Company Details

Name: IDAHO KIDNEY INSTITUTE, LLP
Jurisdiction: Idaho
Legal type: Limited Liability Partnership (D)
Status: Active-Existing
Date of registration: 22 Feb 2005 (20 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 8474
Place of Formation: IDAHO
File Number: 8474
ZIP code: 83221
County: Bingham County
Principal Address: PO BOX 986 BLACKFOOT, ID 83221
Mailing Address: PO BOX 986 BLACKFOOT, ID 83221-0986

Agent

Name Role Address
Daniel Packard Agent 1000 RIVERWALK DRIVE, 100, IDAHO FALLS, ID 83402

Officer

Name Role Address Appointed On Resigned On
FAHIM RAHIM Officer 1000 RIVERWALK DRIVE, IDAHO FALLS, ID 83402 2021-02-03 No data
NAEEM RAHIM Officer 1000 RIVERWALK DRIVE, IDAHO FALLS, ID 83402 2024-01-03 2024-01-03

National Provider Identifier

NPI Number:
1013064690
Certification Date:
2021-04-08

Authorized Person:

Name:
FAHIM RAHIM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
2089044832

Form 5500 Series

Employer Identification Number (EIN):
202388521
Plan Year:
2024
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006041699 2025-01-02
Annual Report 0005537629 2024-01-03
Annual Report 0005046490 2023-01-03
Annual Report 0004613836 2022-02-16
Annual Report 0004153877 2021-02-03

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
151600.00
Total Face Value Of Loan:
151500.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$151,600
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$151,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$152,902.93
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $151,500

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Date of last update: 13 Jul 2025

Sources: Idaho Secretary of State