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CREEKSIDE CARE LLC
NPI 1548053754
Assisted Living Facility in Jerome, ID

Active since May 28, 2025
222 6TH AVE W, JEROME, ID 83338(208) 373-1424 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creekside Care Llc NPPES

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

CREEKSIDE CARE LLC (NPI 1548053754) is a healthcare organization registered as an assisted living facility in Jerome, Idaho and active in the NPI registry since May 2025. The organization lists Ryan David Bowden, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1548053754
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREEKSIDE CARE LLC
Location Address222 6TH AVE WJerome, ID 83338-1834
Mailing Address4423 N 1600 EBuhl, ID 83316-5326
Phone(208) 373-1424
Organization SubpartNo
Authorized OfficialRyan David BowdenManaging Member · (801) 319-0071
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1548053754 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.
222 6TH AVE W, Jerome, ID 83338
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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 Creekside Care LLC's NPI number?

The NPI number for Creekside Care LLC is 1548053754. It was assigned to this organization in the NPPES registry on May 28, 2025.

Where is Creekside Care LLC located?

Creekside Care LLC is located at 222 6th Ave W, Jerome, ID 83338. The listed phone number is (208) 373-1424.

What is Creekside Care 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 Creekside Care LLC was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.