OrganizationActive
Edgewood Spring Creek Ustick, LLC
NPI 1225313737 · Assisted Living Facility · Meridian, ID
Provider details
- NPI number
- 1225313737
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Dybwad, Vp of Finance(701) 757-5422
- License
- RC1004 (ID)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3165 Meridian Rd
Meridian, ID 83646
Phone: (208) 287-2064
Street-level locationGet directions
Mailing address
Po Box 13238
Grand Forks, ND 58208
Registry dates
- Enumerated
- 2011-10-15
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.