Swan Lake Living Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SWAN LAKE LIVING SERVICES, LLC

Practice address

106 N Latah St Unit D
Boise, ID 83706-2624

Phone

(208) 999-6555

Fax

(208) 473-4506

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Adam Ali, MD

Title

Ceo / Director

Phone

(208) 999-6555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770508800000",
    "number": "1205796307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N LATAH ST UNIT D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062624",
            "telephone_number": "208-999-5444",
            "fax_number": "208-473-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N LATAH ST UNIT D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062624",
            "telephone_number": "208-999-6555",
            "fax_number": "208-473-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN LAKE LIVING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO / DIRECTOR",
        "authorized_official_telephone_number": "208-999-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Svoboda, PTA
• Korie Leighanne Swain, PTA
• Joshua Swainston, M.ED., BCBA, LBA
• Alan R Swajkoski, MD
• Elke Swakhammer
• Lisa M. Swan, PT949
• Skyler Derrick Swaner
• Shannon Swanson
• Todd Keith Swanson, MD
• James R Swartley, MD

• Developmentally Disabled Services Day Training Agency in Boise, ID
• Providers in Boise, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.