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Glendale Grove Senior Living, LLC

Assisted Living Facility in Eagle, ID · enumerated 2026 · authorized official Amber Tueller, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205778172

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Registry record

Entity type Organization (Type 2)
Legal business name Glendale Grove Senior Living, LLC
Practice address 1675 E Riverside Dr Ste 150, Eagle, ID, 83616
Enumeration date Apr 8, 2026
Last updated in NPPES Apr 8, 2026

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Amber Tueller
Title Secretary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Glendale Grove Senior Living, LLC?
Glendale Grove Senior Living, LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-08.