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

Provident Foundation - Wedgewood Terrace LLC

Organization Assisted Living Facility · NPI 1295228054

Provident Foundation - Wedgewood Terrace LLC is an Assisted Living Facility in Lewiston, Idaho. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2114 Vineyard Ave
Lewiston, ID 83501
Phone: (208) 743-4545
Fax: (208) 743-2268
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1295228054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Lockwood — President & Chief Financial Officer · (225) 766-3977
NPI enumeratedJune 7, 2018
Last updated in NPPESJune 7, 2018
Mailing address5565 Bankers Avenue, Baton Rouge, LA 70808

Other providers in Lewiston