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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 Specialty Code Provider Type

Assisted Living, Mental Illness

3104A0625X
 

Assisted Living, Behavioral Disturbances

3104A0630X
Indicates primary specialty

NPI Profile & details for ANTELOPE CREEK ASSISTED LIVING

NPI Number 1881761476
LBN Legal business name ANTELOPE CREEK ASSISTED LIVING
Authorized official KASEY BORGMAN - (DIRECTOR OF CORP COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 12/24/2025 - About 6 months ago
Identifiers
ID Medicaid 805729800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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