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

Lakeside Residential Care Inc

Organization Assisted Living Facility · NPI 1700672045

Lakeside Residential Care Inc is an Assisted Living Facility in Winchester, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 Joseph Ave
Winchester, ID 83555-5034
Phone: (208) 790-4162
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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

Record details

NPI number1700672045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Bagley — President · (208) 790-4162
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing addressPo Box 874, Lewiston, ID 83501-0874