OrganizationActive
Assisted Living Concepts Inc
NPI 1275729931 · Assisted Living Facility · Moscow, ID
Provider details
- NPI number
- 1275729931
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Levonowich, Vice President Controller(262) 250-4500
- License
- RC558 (ID)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1401 N Polk St
Moscow, ID 83843
Phone: (208) 882-3438
Street-level locationGet directions
Mailing address
W140 N8981 Lilly Road
Menomonee Falls, WI 53051-2325
Other names (DBA / former)
- Doing business as
- Clark House
Registry dates
- Enumerated
- 2007-09-17
- Last updated
- 2007-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.