P Praxis·MD
● Active Type 2 · Organization

Swan Lake Living Services, Llc

Day Training, Developmentally Disabled Services·Boise, ID· NPI 1205796307 · Enumerated 2025 · 0 years on NPI
Swan Lake Living Services, Llc is 1 of 141 day training, developmentally disabled services organizations in Idaho.
NPI age
— years
Enumerated 2025-11-12
Primary specialty
Day Training, Developmentally Disabled Services
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ali
Ceo / Director
Last NPPES update
2026-02-08
Source: monthly bulk 2026-05

How this organization compares

Across 141 active day training, developmentally disabled services providers in Idaho.

NPI age
0 years
↓ 19 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-11Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
106 N Latah St Unit D
Boise, ID 837062624
📞 2089996555fax 2084734506
Mailing address
106 N Latah St Unit D
Boise, ID 837062624
📞 2089995444fax 2084734506

Authorized official

Adam Ali, MD
Ceo / Director
📞 2089996555

Specialties

  • Day Training, Developmentally Disabled Services Primary
    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...
    taxonomy 251C00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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