National Provider Identifier Database

ANTELOPE CREEK ASSISTED LIVING
Assisted Living, Mental Illness

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.


Contact Information

ANTELOPE CREEK ASSISTED LIVING
3668 W. 3700 N.
DARLINGTON, ID83255-0909
Phone: 208-588-2700
Fax: 208-588-2701
Website:
Specialty Taxonomy Code
* Assisted Living, Mental Illness 3104A0625X
Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for ANTELOPE CREEK ASSISTED LIVING

NPI Number 1881761476
Legal business name
LBN
ANTELOPE CREEK ASSISTED LIVING
Authorized official KASEY BORGMAN - (DIRECTOR OF CORP COMPLIANCE)
Entity Organization
Organization subpart No
Enumeration date 11/29/2006
Last updated 12/24/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 805729800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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