Provident Foundation - Wedgewood Terrace LLC
NPI 1295228054 · Assisted Living Facility · Lewiston, ID
Provident Foundation - Wedgewood Terrace LLC is a Assisted Living Facility organization in Lewiston, ID (NPI 1295228054).
Provider details
- NPI number
- 1295228054
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Lockwood, President & Chief Financial Officer(225) 766-3977
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Alzheimer Center (Dementia Center)311500000X
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2018-06-07
Frequently asked questions
- What is Provident Foundation - Wedgewood Terrace LLC's NPI number?
- Provident Foundation - Wedgewood Terrace LLC's National Provider Identifier (NPI) is 1295228054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Foundation - Wedgewood Terrace LLC?
- Provident Foundation - Wedgewood Terrace LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Provident Foundation - Wedgewood Terrace LLC located?
- Provident Foundation - Wedgewood Terrace LLC's practice location on file with NPPES is 2114 Vineyard Avenue, Lewiston, ID 83501.
- What is Provident Foundation - Wedgewood Terrace LLC's phone number?
- The practice phone number listed in the NPPES registry for Provident Foundation - Wedgewood Terrace LLC is (208) 743-4545.
- Who is the authorized official for Provident Foundation - Wedgewood Terrace LLC?
- The authorized official listed on Provident Foundation - Wedgewood Terrace LLC's NPPES record is Debra Lockwood, President & Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Foundation - Wedgewood Terrace LLC's NPI active?
- Yes — Provident Foundation - Wedgewood Terrace LLC's NPI (1295228054) is active in the NPPES registry as of the last update on 2018-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.