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SNAKE RIVER COMMUNITY SUPPORTED LIVING
NPI 1851706626
Community/Behavioral Health in Idaho Falls, ID

Active since June 30, 2014
557 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 542-4517 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Snake River Community Supported Living NPPES

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

SNAKE RIVER COMMUNITY SUPPORTED LIVING (NPI 1851706626) is a healthcare organization registered as a community/behavioral health in Idaho Falls, Idaho and active in the NPI registry since June 2014. The organization lists Kathleen Ann Hansen, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1851706626
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSNAKE RIVER COMMUNITY SUPPORTED LIVING
Location Address557 S WOODRUFF AVEIdaho Falls, ID 83401-5200
Mailing Address557 S Woodruff AveIdaho Falls, ID 83401-5200 · (208) 542-4517
Phone(208) 542-4517
Organization SubpartNo
Authorized OfficialKathleen Ann HansenOwner/administrator · (208) 542-4517
Enumeration DateJune 30, 2014
✔ NPI 1851706626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
557 S WOODRUFF AVE, Idaho Falls, ID 83401
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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 Snake River Community Supported Living's NPI number?

The NPI number for Snake River Community Supported Living is 1851706626. It was assigned to this organization in the NPPES registry on June 30, 2014.

Where is Snake River Community Supported Living located?

Snake River Community Supported Living is located at 557 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 542-4517.

What is Snake River Community Supported Living'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 Snake River Community Supported Living was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.