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CLARK HOUSE
NPI 1275729931
Assisted Living Facility in Moscow, ID

Active since September 17, 2007
1401 N POLK ST, MOSCOW, ID 83843(208) 882-3438 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clark House NPPES

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

CLARK HOUSE (NPI 1275729931) is a healthcare organization registered as an assisted living facility in Moscow, Idaho and active in the NPI registry since September 2007. The organization lists Walter A Levonowich, Vice President Controller, as its authorized official.

NPPES Registry Identity

NPI1275729931
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASSISTED LIVING CONCEPTS INC
Location Address1401 N POLK STMoscow, ID 83843
Mailing AddressW140 N8981 Lilly RoadMenomonee Falls, WI 53051-2325 · (262) 250-4500 · Fax (262) 251-7633
Phone(208) 882-3438
Organization SubpartNo
Authorized OfficialWalter A LevonowichVice President Controller · (262) 250-4500
Enumeration DateSeptember 17, 2007
✔ NPI 1275729931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in ID · RC558
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.

1401 N POLK ST, Moscow, ID 83843
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Other Names 1

Doing Business AsClark House

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 Assisted Living Concepts Inc's NPI number?

The NPI number for Assisted Living Concepts Inc is 1275729931. It was assigned to this organization in the NPPES registry on September 17, 2007. The provider is doing business as Clark House.

Where is Assisted Living Concepts Inc located?

Assisted Living Concepts Inc is located at 1401 N Polk St, Moscow, ID 83843. The listed phone number is (208) 882-3438.

What is Assisted Living Concepts Inc'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 Assisted Living Concepts Inc was last updated on September 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.