NPI age
9 years
Enumerated 2017-04-10
● Active Type 2 · Organization
Teton Supported Living Llc
Teton Supported Living Llc is 1 of 141 day training, developmentally disabled services organizations in Idaho.
Primary specialty
Day Training, Developmentally Disabled Services
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Copeland
Owner/administrator
Last NPPES update
2017-04-10
Source: monthly bulk 2026-05
How this organization compares
Across 141 active day training, developmentally disabled services providers in Idaho.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
4101 N Creswell Way
Boise, ID 837132404
Mailing address
4101 N Creswell Way
Boise, ID 837132404
Authorized official
Jodi L Copeland, BSW
Owner/administrator
📞 2083770580
Specialties
-
Day Training, Developmentally Disabled Services PrimaryThese 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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