NPI age
1 years
Enumerated 2025-04-15
● Active Type 2 · Organization
Lakeside Residential Care Inc
Lakeside Residential Care Inc is 1 of 201 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bagley
President
Last NPPES update
2025-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 201 active assisted living facility providers in Idaho.
NPI age
1 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-04Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
605 Joseph Ave
Winchester, ID 835555034
Mailing address
Po Box 874
Lewiston, ID 835010874
Authorized official
Brian J Bagley
President
📞 2087904162
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.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.