1. Home
  2. Directory
  3. Idaho
  4. Sandpoint
  5. Assisted Living Facility
  6. NPI Profile

SANDOINT ASSISTED LIVING FACILITY
NPI 1891003554
Assisted Living Facility in Sandpoint, ID

Active since September 15, 2010
624 S DIVISION AVE, SANDPOINT, ID 83864(208) 265-2354(208) 263-8787 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandoint Assisted Living Facility NPPES

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

SANDOINT ASSISTED LIVING FACILITY (NPI 1891003554) is a healthcare organization registered as an assisted living facility in Sandpoint, Idaho and active in the NPI registry since September 2010. The organization lists Dale L Patterson, Manager, as its authorized official.

NPPES Registry Identity

NPI1891003554
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN IDAHO HEALTHCARE SANDPOINT, L.L.C.
Location Address624 S DIVISION AVESandpoint, ID 83864-1749
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6729 · (360) 892-6628 · Fax (360) 882-5793
Phone(208) 265-2354
Fax(208) 263-8787
Organization SubpartYesParent: Evergreen Idaho Healthcare, L.l.c.
Authorized OfficialDale L PattersonManager · (360) 892-6628
Enumeration DateSeptember 15, 2010
Last NPPES UpdateJune 2, 2011
✔ NPI 1891003554 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 · RC-511
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.
624 S DIVISION AVE, Sandpoint, ID 83864
Open in Google Maps ↗

Other Names 1

Doing Business AsSandoint Assisted Living Facility

Other Identifiers 1

Medicaid8055822ID

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 Evergreen Idaho Healthcare Sandpoint, L.L.C.'s NPI number?

The NPI number for Evergreen Idaho Healthcare Sandpoint, L.L.C. is 1891003554. It was assigned to this organization in the NPPES registry on September 15, 2010. The provider is doing business as Sandoint Assisted Living Facility.

Where is Evergreen Idaho Healthcare Sandpoint, L.L.C. located?

Evergreen Idaho Healthcare Sandpoint, L.L.C. is located at 624 S Division Ave, Sandpoint, ID 83864. The listed phone number is (208) 265-2354.

What is Evergreen Idaho Healthcare Sandpoint, L.L.C.'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 Evergreen Idaho Healthcare Sandpoint, L.L.C. was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.