Copacetic Supported Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COPACETIC SUPPORTED LIVING

Practice address

540 S 16TH St Ste 112
Payette, ID 83661-3514

Phone

(208) 297-0811

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Riley Castillo

Title

Owner/Operator

Phone

(208) 297-0811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1316734296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S 16TH ST STE 112",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836613514",
            "telephone_number": "208-297-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S 16TH ST STE 112",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836613514",
            "telephone_number": "208-297-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPACETIC SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "208-297-0811"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Allen Brown, PTA
• Joann E Buhr Cote, DNP
• Ronald Eugene Carroll, M.D.
• Sonia Cervantes, LMSW
• Larry Chandler
• County of Payette School District 371 J
• Teresa Crossley
• Diamond Cruz
• Dan C Thieme OD PC (Payette Family Eyecare)
• Elizabeth G Daniels

• In Home Supportive Care Agency in Payette, ID
• Providers in Payette, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.