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GLENDALE GROVE SENIOR LIVING, LLC
NPI 1205778172
Assisted Living Facility in Eagle, ID

Active since April 08, 2026
1675 E RIVERSIDE DR STE 150, EAGLE, ID 83616(208) 401-1400 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glendale Grove Senior Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE GROVE SENIOR LIVING, LLC (NPI 1205778172) is a healthcare organization registered as an assisted living facility in Eagle, Idaho and active in the NPI registry since April 2026. The organization lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1205778172
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGLENDALE GROVE SENIOR LIVING, LLC
Location Address1675 E RIVERSIDE DR STE 150Eagle, ID 83616-7584
Mailing Address1675 E Riverside Dr Ste 150Eagle, ID 83616-7584
Phone(208) 401-1400
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1205778172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1675 E RIVERSIDE DR STE 150, Eagle, ID 83616
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAPPY VALLEY HEALTHCARE LLC
Home Health
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 401-1400
TABLE ROCK SENIOR LIVING LLC
Assisted Living Facility
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 401-1400
SIERRITA SENIOR LIVING LLC
Assisted Living Facility
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 401-1048
BRIDGEWATER HOME CARE LLC
In Home Supportive Care
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 207-2726
BAYWOOD HEALTHCARE LLC
Home Health
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 207-2726
BUFFALO SPRINGS HEALTHCARE LLC
Hospice Care, Community Based
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 401-1369
BEACH CITY SENIOR LIVING LLC
Assisted Living Facility
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 401-1400
BAYWOOD HEALTHCARE LLC
Hospice Care, Community Based
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Ada County (208) 207-2726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Grove Senior Living, LLC's NPI number?

The NPI number for Glendale Grove Senior Living, LLC is 1205778172. It was assigned to this organization in the NPPES registry on April 8, 2026.

Where is Glendale Grove Senior Living, LLC located?

Glendale Grove Senior Living, LLC is located at 1675 E Riverside Dr Ste 150, Eagle, ID 83616. The listed phone number is (208) 401-1400.

What is Glendale Grove Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Glendale Grove Senior Living, LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.