Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgewood Spring Creek Overland, LLC

Organization Assisted Living Facility · NPI 1497038301

Edgewood Spring Creek Overland, LLC is an Assisted Living Facility in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10139 W Overland Rd
Boise, ID 83709-1429
Phone: (208) 639-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence RC1009 (ID)

Record details

NPI number1497038301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dybwad — Vp Of Finance · (701) 757-5422
NPI enumeratedSeptember 27, 2011
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing addressPo Box 13238, Grand Forks, ND 58208

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