Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Provident Foundation - Wedgewood Terrace LLC

Assisted Living Facility in Lewiston, ID · enumerated 2018 · authorized official Debra Lockwood, President & Chief Financial Officer.

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

National Provider Identifier

1295228054

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Provident Foundation - Wedgewood Terrace LLC

Practice address 2114 Vineyard Avenue, Lewiston, ID, 83501

Phone (208) 743-4545

Fax (208) 743-2268

Enumeration date Jun 7, 2018

Last updated in NPPES Jun 7, 2018

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities Secondary

385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Debra Lockwood

Title President & Chief Financial Officer

Phone (225) 766-3977

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Provident Foundation - Wedgewood Terrace LLC?

The NPI for Provident Foundation - Wedgewood Terrace LLC is 1295228054, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Provident Foundation - Wedgewood Terrace LLC?

NPPES lists Debra Lockwood (President & Chief Financial Officer) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-07.