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BRIGHTHAVEN SUPPORTED LIVING LLC
NPI 1710857719
Community/Behavioral Health in Meridian, ID

Active since November 06, 2025
1351 E MONA LISA DR, MERIDIAN, ID 83642(208) 570-9092 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2025, Nov 6, 2025 (2 updates tracked since 2025).

About Brighthaven Supported Living Llc NPPES

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

BRIGHTHAVEN SUPPORTED LIVING LLC (NPI 1710857719) is a healthcare organization registered as a community/behavioral health in Meridian, Idaho and active in the NPI registry since November 2025. The organization lists Bruce Ishimwe, Owner, as its authorized official.

NPPES Registry Identity

NPI1710857719
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBRIGHTHAVEN SUPPORTED LIVING LLC
Location Address1351 E MONA LISA DRMeridian, ID 83642-7885
Mailing Address252 E Front StBoise, ID 83702-7348 · (208) 570-9092
Phone(208) 570-9092
Organization SubpartNo
Authorized OfficialBruce IshimweOwner · (208) 570-9092
Enumeration DateNovember 6, 2025
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1710857719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
1351 E MONA LISA DR, Meridian, ID 83642
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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 Brighthaven Supported Living LLC's NPI number?

The NPI number for Brighthaven Supported Living LLC is 1710857719. It was assigned to this organization in the NPPES registry on November 6, 2025.

Where is Brighthaven Supported Living LLC located?

Brighthaven Supported Living LLC is located at 1351 E Mona Lisa Dr, Meridian, ID 83642. The listed phone number is (208) 570-9092.

What is Brighthaven Supported Living LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Brighthaven Supported Living LLC was last updated on November 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.