SPRING CREEK IDAHO LLC NPI 1376674622

NPI Information

  • NPI: 1376674622
  • Provider Name: SPRING CREEK IDAHO, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: SPRING CREEK MANOR
  • Address: 175 E CALDERWOOD DR
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 884-6199

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NPI Details

SPRING CREEK IDAHO, LLC is an assisted living facility in Meridian, ID. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SPRING CREEK IDAHO, LLC NPI is 1376674622. The provider is registered as an organization entity type.
The provider Other Name Is Spring Creek Manor.

The provider's business location address is:

175 E CALDERWOOD DR
MERIDIAN, ID
ZIP 83642-482
Phone: (208) 884-6199
Fax: (208) 639-3419

The provider's authorized official is Virginia Thornley .
The authorized official title is Bookkeeper and has the following contact phone number (208) 855-5005.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18059942000MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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