SPRING CREEK IDAHO, LLC (NPI# 1376674622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376674622 |
| Entity Type | Organization |
| Organization Name | SPRING CREEK IDAHO, LLC |
| Other Organization Name | SPRING CREEK MANOR |
| Practice Address |
175 E Calderwood Dr Meridian ID 83642-7482 |
| Mailing Address |
253 E Calderwood Dr # E Meridian ID 83642-7500 |
| Practice Telephone | 2088846199 |
| Practice Fax Number | 2086393419 |
| Mailing Telephone | 2088555005 |
| Mailing Fax Number | 2088555034 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VIRGINIA THORNLEY (BOOKKEEPER) |
| Authorized Official Telephone | 2088555005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8059942000 | 05 |
| Other Name | Type Code |
|---|---|
| Spring Creek Manor | Other Name - Individual/Organization |
| Street Address |
175 E CALDERWOOD DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891078705 | Edgewood Spring Creek Meridian, LLC | Assisted Living Facility | 175 E Calderwood Dr, Meridian, ID 83642-7482 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
| 1225313737 | Edgewood Spring Creek Ustick, LLC | Assisted Living Facility | 3165 Meridian Rd, Meridian, ID 83646 | 2011-10-15 |
| 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 |
| 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.