NPI age
— years
Enumerated 2026-03-03
● Active Type 2 · Organization
Monumental Supported Living Llc
Monumental Supported Living Llc is 1 of 27 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Idaho.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crockett
Owner
Last NPPES update
2026-03-09
Source: monthly bulk 2026-05
How this organization compares
Across 27 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Idaho.
NPI age
0 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2026 → 2026
2026-03Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
2103 W Izabella Ct
Nampa, ID 836511415
Mailing address
2103 W Izabella Ct
Nampa, ID 836511415
Authorized official
Whitney Crockett, BS,QIDP
Owner
📞 2089491407
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Whitney Crockett, QIDP Day Training/Habilitation Specialist NPI 1467244988
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.