NPI age
4 years
Enumerated 2021-10-25
● Active Type 2 · Organization
Stonebridge Assisted Living Llc
Stonebridge Assisted Living Llc is 1 of 201 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Gaver
Owner
Last NPPES update
2021-10-25
Source: monthly bulk 2026-05
How this organization compares
Across 201 active assisted living facility providers in Idaho.
NPI age
4 years
≈ at median (5 yr)
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
356 E Cleveland Ave
Glenns Ferry, ID 836232404
Mailing address
1670 E 4500 N
Buhl, ID 833165303
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
110 River Rock Pl
Hagerman, ID 833325066
Location 3
465 N Shoshone St
Wendell, ID 833555044
Authorized official
Matthew Gaver
Owner
📞 8015185230
Specialties
-
Assisted Living Facility PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Matt Gaver
Practice context
Multi-site organization. 2 additional practice locations on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.