Edgewood Spring Creek Soda Springs, LLC
NPI 1841575982 · Assisted Living Facility · Soda Springs, ID
Edgewood Spring Creek Soda Springs, LLC is a Assisted Living Facility organization in Soda Springs, ID (NPI 1841575982).
Provider details
- NPI number
- 1841575982
- 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
- RC-1010 (ID)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Frequently asked questions
- What is Edgewood Spring Creek Soda Springs, LLC's NPI number?
- Edgewood Spring Creek Soda Springs, LLC's National Provider Identifier (NPI) is 1841575982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Spring Creek Soda Springs, LLC?
- Edgewood Spring Creek Soda Springs, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Spring Creek Soda Springs, LLC located?
- Edgewood Spring Creek Soda Springs, LLC's practice location on file with NPPES is 425 S Spring Creek Dr, Soda Springs, ID 83276-1628.
- What is Edgewood Spring Creek Soda Springs, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Spring Creek Soda Springs, LLC is (208) 547-0257.
- Who is the authorized official for Edgewood Spring Creek Soda Springs, LLC?
- The authorized official listed on Edgewood Spring Creek Soda Springs, LLC's NPPES record is John Dybwad, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewood Spring Creek Soda Springs, LLC's NPI active?
- Yes — Edgewood Spring Creek Soda Springs, LLC's NPI (1841575982) is active in the NPPES registry as of the last update on 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.