Soar Supported Living

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SOAR SUPPORTED LIVING

Practice address

271 N. Ave. D
Kuna, ID 83634

Phone

(986) 282-0029

NPI assigned

Jul 1, 2025

Organization subpart

No

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

Authorized official

Name

David TomaselliNPI 1740098847

Title

Operator/Director

Phone

(986) 282-0029

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Tomaselli

  • Developmental Therapist
  • Boise, ID
  • NPI 1740098847
  NPD Authorized official

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1437048758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 N HICKORY WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836468077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 N. AVE. D",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "83634",
            "telephone_number": "986-282-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "TOMASELLI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPERATOR/DIRECTOR",
        "authorized_official_telephone_number": "986-282-0029"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Kuna, ID
• Providers in Kuna, ID by specialty
• Early Intervention Provider Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.