EDGEWOOD SPRING CREEK OVERLAND, LLC (NPI# 1497038301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497038301 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD SPRING CREEK OVERLAND, LLC |
| Practice Address |
10139 W Overland Rd Boise ID 83709-1429 |
| Mailing Address |
4900 N Rosepoint Way Boise ID 83713-5503 |
| Practice Telephone | 2086397000 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| 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 | RC1009 | ID | Nursing & Custodial Care Facilities |
| Street Address |
10139 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 1619593068 | Frontier Management, LLC | Assisted Living Facility | 10250 W Smoke Ranch Dr, Boise, ID 83709-1467 | 2020-06-22 |
| 1164046413 | Grace Memory Care At State Street LLC | Assisted Living Facility | 9779 W State St, Boise, ID 83714-1638 | 2020-06-02 |
| 1356965693 | Grace At State Street LLC | Assisted Living Facility | 9995 W State St, Boise, ID 83714-1636 | 2020-06-02 |
| 1447874797 | Grace At Englefield Green LLC | Assisted Living Facility | 250 S Allumbaugh Way, Boise, ID 83709-5624 | 2020-06-02 |
| 1942848502 | The Spaulding Home LLC | Assisted Living Facility | 1709 W Spaulding St, Boise, ID 83705-4223 | 2019-12-13 |
| 1023671435 | Edgewood Castle Hills LLC | Assisted Living Facility | 5955 W Castle Dr, Boise, ID 83703-3215 | 2019-04-22 |
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1114383577 | Edgewood Spring Creek Eagle Island LLC | Assisted Living Facility | 12426 W Explorer Dr Ste 220, Boise, ID 83713-1560 | 2016-01-14 |
| 1568843605 | Treasure Valley Senior Living, Inc. | Assisted Living Facility | 1777 S Curtis Rd, Boise, ID 83705-2708 | 2015-06-15 |
| 1083959902 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 739 E Parkcenter Blvd, Boise, ID 83706-6511 | 2012-12-04 |
| Find all providers in BOISE | ||||
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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.