Organization Active NPI

Sawtooth Senior Living LLC

Doing business as Table Rock Senior Living at Paramount

  • Assisted Living Facility
  • Meridian, ID
National Provider Identifier
1073382487
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAWTOOTH SENIOR LIVING LLC
Doing business as
Table Rock Senior Living at Paramount
Practice address
6280 N Fox Run Way
Meridian, ID 83646-6791
Phone
(208) 639-0009
NPI assigned
Dec 27, 2023
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

6280 N Fox Run Way
Meridian, ID 83646-6791

Mailing address

6280 N Fox Run Way
Meridian, ID 83646-6791
Phone (836) 462-0840

Other names 1

  • Table Rock Senior Living at Paramount Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2192420Table Rock Senior Living at Paramount6280 N Fox Run Way, Meridian, ID 83646Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1073382487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 N FOX RUN WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466791",
            "telephone_number": "836-462-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 N FOX RUN WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466791",
            "telephone_number": "208-639-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWTOOTH SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Table Rock Senior Living at Paramount",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.