SWAN LAKE LIVING SERVICES, LLC
NPI 1205796307
Day Training, Developmentally Disabled Services in Boise, ID

Active since November 12, 2025
106 N LATAH ST UNIT D, BOISE, ID 83706(208) 999-6555(208) 473-4506 Get Directions Write a Review

NPPES record last updated: February 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2026, Nov 13, 2025 (2 updates tracked since 2025).

About Swan Lake Living Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWAN LAKE LIVING SERVICES, LLC (NPI 1205796307) is a healthcare organization registered as a day training, developmentally disabled services in Boise, Idaho and active in the NPI registry since November 2025. The organization lists Adam Ali, Ceo / Director, as its authorized official.

NPPES Registry Identity

NPI1205796307
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameSWAN LAKE LIVING SERVICES, LLC
Location Address106 N LATAH ST UNIT DBoise, ID 83706-2624
Mailing Address106 N Latah St Unit DBoise, ID 83706-2624 · (208) 999-5444 · Fax (208) 473-4506
Fax(208) 473-4506
Organization SubpartNo
Authorized OfficialAdam AliCeo / Director · (208) 999-6555
Enumeration DateNovember 12, 2025
Last NPPES UpdateFebruary 8, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2026
NPI 1205796307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
106 N LATAH ST UNIT D, Boise, ID 83706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swan Lake Living Services, LLC's NPI number?

The NPI number for Swan Lake Living Services, LLC is 1205796307. It was assigned to this organization in the NPPES registry on November 12, 2025.

Where is Swan Lake Living Services, LLC located?

Swan Lake Living Services, LLC is located at 106 N Latah St Unit D, Boise, ID 83706. The listed phone number is (208) 999-6555.

What is Swan Lake Living Services, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Swan Lake Living Services, LLC was last updated on February 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.