Organization
ANTELOPE CREEK ASSISTED LIVING
Active
Other names
Antelope Creek Assisted Living, Antelope Creek Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY D BORGMAN (DIRECTOR OF CORP COMPLIANCE)
(208) 245-4576
Entity
Organization
Contact information
Practice address
3668 W. 3700 N., DARLINGTON, ID 83255-0909
(208) 588-2700
(208) 588-2701
Mailing address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805729800
—
ID
Enumeration date
11/29/2006
Last updated
12/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us