NPI age
19 years
Enumerated 2006-11-29
● Active Type 2 · Organization
Antelope Creek Assisted Living
Antelope Creek Assisted Living is 1 of 11 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Borgman
Director Of Corp Compliance
Last NPPES update
2025-12-24
Source: monthly bulk 2026-05
How this organization compares
Across 11 active assisted living facility providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3668 W. 3700 N.
Darlington, ID 832550909
Mailing address
820 Elm Dr
St Maries, ID 838612119
Authorized official
Kasey D Borgman
Director Of Corp Compliance
📞 2082454576
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility...
-
Assisted Living FacilityA facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805729800 |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Antelope Creek Assisted Living
-
Antelope Creek Assisted Living
-
Antelope Creek Assisted Living
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 →
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