Edgewood Spring Creek Boise, LLC
NPI 1871876789 · Assisted Living Facility · Boise, ID
Edgewood Spring Creek Boise, LLC is a Assisted Living Facility organization in Boise, ID (NPI 1871876789).
Provider details
- NPI number
- 1871876789
- 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
- RC1006 (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
- 2011-09-27
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Frequently asked questions
- What is Edgewood Spring Creek Boise, LLC's NPI number?
- Edgewood Spring Creek Boise, LLC's National Provider Identifier (NPI) is 1871876789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Spring Creek Boise, LLC?
- Edgewood Spring Creek Boise, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Spring Creek Boise, LLC located?
- Edgewood Spring Creek Boise, LLC's practice location on file with NPPES is 10681 Mcmillan Rd, Boise, ID 83713-2628.
- What is Edgewood Spring Creek Boise, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Spring Creek Boise, LLC is (208) 954-5660.
- Who is the authorized official for Edgewood Spring Creek Boise, LLC?
- The authorized official listed on Edgewood Spring Creek Boise, 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 Boise, LLC's NPI active?
- Yes — Edgewood Spring Creek Boise, LLC's NPI (1871876789) 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.