NPI age
— years
Enumerated 2025-11-06
● Active Type 2 · Organization
Brighthaven Supported Living Llc
Brighthaven Supported Living Llc is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ishimwe
Owner
Last NPPES update
2025-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
0 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-11Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1351 E Mona Lisa Dr
Meridian, ID 836427885
Mailing address
252 E Front St
Boise, ID 837027348
Authorized official
Bruce Ishimwe
Owner
📞 2085709092
Specialties
-
Community/Behavioral Health PrimaryA 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...
-
Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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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