Creekside Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CREEKSIDE CARE LLC

Practice address

222 6TH Ave W
Jerome, ID 83338-1834

Phone

(208) 373-1424

NPI assigned

May 28, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan David Bowden

Title

Managing Member

Phone

(801) 319-0071

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1548053754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 N 1600 E",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833165326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 6TH AVE W",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381834",
            "telephone_number": "208-373-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-319-0071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Clark, RTT PRACTITIONER
• Austin Cobbley, DPT
• Communicare, Inc
• Communicare, Inc
• Counties of Jerome Lincoln
• Suzanne Crow, LMSW
• James A Davis, OD
• Tiffany Frances Dial, OT
• Michael D Dialogue, DO
• Paul A Dickinson, CRNA

• Assisted Living Facility in Jerome, ID
• Providers in Jerome, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.