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Wellspring Home Health Center, LLC

Contents

Company Details

Name: Wellspring Home Health Center, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 27 Jul 2015 (9 years ago)
Entity Number: 10031048
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 609 S KNIK GOOSE BAY RD STE K, WASILLA, AK 99654
Mailing Address: PO BOX 872903, WASILLA, AK 99687-2903

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621610 HOME HEALTH CARE SERVICES

Officers

Name Role
Joyce Ibanga Member
Ernest Ibanga Member
Ernest Ibanga Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
K3CSRTFNFV66 2025-02-22 201 E SWANSON AVE STE 7, WASILLA, AK, 99654, 7054, USA
Mailing Address 201 E SWANSON AVE STE 7, WASILLA, AK, 99654, 7054, USA

Business Information

Doing Business As WELLSPRING HOME HEALTH CENTER LLC
URL https://www.wellspringhomehealth.com/
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-02-26
Initial Registration Date 2021-03-11
Entity Start Date 2015-05-24
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621610
Product and Service Codes Q402

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JOYCE IBANGA
Role ADMINISTRATOR
Address 201 E SWANSON AVE.,, STE 7, WASILLA, AK, 99654, USA
Government Business
Title PRIMARY POC
Name JOYCE IBANGA
Role ADMINISTRATOR
Address 201 E SWANSON AVE., STE 7, WASILLA, AK, 99654, USA
Past Performance -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
WELLSPRING HOME HEALTH CENTER, LLC 401(K) PROFIT SHARING AND TRUST 2023 474611015 2024-10-07 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor WELLSPRING HOME HEALTH CENTER, LLC
Business code 621610
Sponsor’s telephone number 9073573655
Plan sponsor’s address 201 E. SWANSON AVENUE, SUITE 7, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2024-10-07
Name of individual signing JOYCE IBANGA
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HOME HEALTH CENTER, LLC 401(K) PROFIT SHARING AND TRUST 2022 474611015 2023-10-16 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor WELLSPRING HOME HEALTH CENTER, LLC
Business code 621610
Sponsor’s telephone number 9073573655
Plan sponsor’s address 201 E. SWANSON AVENUE, SUITE 7, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing JOYCE IBANGA
WELLSPRING HOME HEALTH CENTER, LLC 401(K) PROFIT SHARING AND TRUST 2021 474611015 2022-10-11 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor WELLSPRING HOME HEALTH CENTER, LLC
Business code 621610
Sponsor’s telephone number 9073573655
Plan sponsor’s address 201 E. SWANSON AVENUE, SUITE 7, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing JOYCE IBANGA
WELLSPRING HOME HEALTH CENTER 401(K) PROFIT SHARING PLAN & TRUST 2020 474611015 2021-05-11 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor WELLSPRING HOME HEALTH CENTER
Business code 541990
Sponsor’s telephone number 9074143347
Plan sponsor’s address 201 E SWANSON AVE SUITE 7, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2021-05-11
Name of individual signing JOYCE IBANGA

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1039677 Active 2016-07-12 2022-10-23 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621610 - HOME HEALTH CARE SERVICES

Date of last update: 11 Jan 2025

Sources: State of Alaska - Department of Commerce, Community, and Economic Development