OrganizationActive
Teton Supported Living LLC
NPI 1477086114 · Developmentally Disabled Services Day Training Agency · Boise, ID
Provider details
- NPI number
- 1477086114
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jodi Copeland, Owner/Administrator(208) 377-0580
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4101 N Creswell Way
Boise, ID 83713-2404
Phone: (208) 377-0580
Fax: (208) 672-1388
Street-level locationGet directions
Mailing address
4101 N Creswell Way
Boise, ID 83713-2404
Registry dates
- Enumerated
- 2017-04-10
- Last updated
- 2017-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.