TETON SUPPORTED LIVING LLC
NPI 1477086114
Day Training, Developmentally Disabled Services in Boise, ID

Active since April 10, 2017
4101 N CRESWELL WAY, BOISE, ID 83713(208) 377-0580(208) 672-1388 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Teton Supported Living Llc NPPES

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

TETON SUPPORTED LIVING LLC (NPI 1477086114) is a healthcare organization registered as a day training, developmentally disabled services in Boise, Idaho and active in the NPI registry since April 2017. The organization lists Jodi L Copeland, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1477086114
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameTETON SUPPORTED LIVING LLC
Location Address4101 N CRESWELL WAYBoise, ID 83713-2404
Mailing Address4101 N Creswell WayBoise, ID 83713-2404 · (208) 377-0580 · Fax (208) 672-1388
Fax(208) 672-1388
Organization SubpartNo
Authorized OfficialJodi L CopelandOwner/administrator · (208) 377-0580
Enumeration DateApril 10, 2017
NPI 1477086114 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.
4101 N CRESWELL WAY, Boise, ID 83713

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 Teton Supported Living LLC's NPI number?

The NPI number for Teton Supported Living LLC is 1477086114. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Teton Supported Living LLC located?

Teton Supported Living LLC is located at 4101 N Creswell Way, Boise, ID 83713. The listed phone number is (208) 377-0580.

What is Teton Supported Living 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 Teton Supported Living LLC was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.