EDGEWOOD SPRING CREEK USTICK, LLC (NPI# 1225313737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225313737 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD SPRING CREEK USTICK, LLC |
| Practice Address |
3165 Meridian Rd Meridian ID 83646 |
| Mailing Address |
4900 N Rosepoint Way Boise ID 83713-5503 |
| Practice Telephone | 2082872064 |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |
| Authorized Official Name | ASHLEY TAYLOR (ACCOUNTING) |
| Authorized Official Telephone | 2083506630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | RC1004 | ID | Nursing & Custodial Care Facilities |
| Street Address |
3165 MERIDIAN RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886963 | Diamond View Care Properties, LLC | Assisted Living Facility | 3570 E Amity Rd, Meridian, ID 83642-7014 | 2020-06-22 |
| 1790309045 | Grace At Fairview Lakes LLC | Assisted Living Facility | 1960 N Lakes Pl, Meridian, ID 83646-5939 | 2020-06-02 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1508329343 | Veranda Senior Living LLC | Assisted Living Facility | 6280 N Fox Run Way, Meridian, ID 83646-6791 | 2019-04-09 |
| 1144537986 | Alpine Meadows Assisted Living, LLC | Assisted Living Facility | 1695 S Locust Grove Rd, Meridian, ID 83642-6620 | 2010-08-31 |
| 1639406481 | Arrowrock Assisted Living LLC | Assisted Living Facility | 1448 W Crest Wood Dr, Meridian, ID 83642-2498 | 2009-11-13 |
| 1376674622 | Spring Creek Idaho, LLC | Assisted Living Facility | 175 E Calderwood Dr, Meridian, ID 83642-7482 | 2007-03-08 |
| 1639126493 | Sunbridge Healthcare LLC | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2006-05-27 |
| 1699251058 | Meridian Healthcare, Inc. | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2018-07-18 |
| 1891078705 | Edgewood Spring Creek Meridian, LLC | Assisted Living Facility | 175 E Calderwood Dr, Meridian, ID 83642-7482 | 2011-09-27 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.