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LAKESIDE RESIDENTIAL CARE INC
NPI 1700672045
Assisted Living Facility in Winchester, ID

Active since April 15, 2025
605 JOSEPH AVE, WINCHESTER, ID 83555(208) 790-4162 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lakeside Residential Care Inc NPPES

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

LAKESIDE RESIDENTIAL CARE INC (NPI 1700672045) is a healthcare organization registered as an assisted living facility in Winchester, Idaho and active in the NPI registry since April 2025. The organization lists Brian J Bagley, President, as its authorized official.

NPPES Registry Identity

NPI1700672045
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKESIDE RESIDENTIAL CARE INC
Location Address605 JOSEPH AVEWinchester, ID 83555-5034
Mailing AddressPo Box 874Lewiston, ID 83501-0874 · (208) 790-4162
Phone(208) 790-4162
Organization SubpartNo
Authorized OfficialBrian J BagleyPresident · (208) 790-4162
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1700672045 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.
605 JOSEPH AVE, Winchester, ID 83555
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Other Providers at the Same Location NPPES

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

THRIVE BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
605 JOSEPH AVE
WINCHESTER, ID 83555
Lewis County (509) 552-9139

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 Lakeside Residential Care Inc's NPI number?

The NPI number for Lakeside Residential Care Inc is 1700672045. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Lakeside Residential Care Inc located?

Lakeside Residential Care Inc is located at 605 Joseph Ave, Winchester, ID 83555. The listed phone number is (208) 790-4162.

What is Lakeside Residential Care 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 Lakeside Residential Care Inc was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.