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Edgewood Spring Creek American Falls, LLC

NPI 1801171848ActiveOrganization· Assisted Living Facility· American Falls, ID

Assisted Living Facility in American Falls, Idaho, registered in NPPES in October 2011. The authorized official on file is John Dybwad, Vp Of Finance.

Overview

NPI1801171848
StatusActive
Entity typeOrganization
NPI issuedOct 20, 2011
Last updated in NPPESAug 19, 2022
Certified by providerAug 19, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000XRC-1005ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years