Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brighthaven Supported Living LLC

Organization Community/Behavioral Health Agency · NPI 1710857719

Brighthaven Supported Living LLC is a Community/Behavioral Health Agency in Meridian, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1351 E Mona Lisa Dr
Meridian, ID 83642-7885
Phone: (208) 570-9092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1710857719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Ishimwe — Owner · (208) 570-9092
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address252 E Front St, Boise, ID 83702-7348

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