Organization · NPI-2

Guiding Star Residence

Residential Treatment Facility, Emotionally Disturbed Children · Boise, ID

NPI number1205763406

StatusActive

Last updated in NPPESMay 8, 2026

Details

NPI: 1205763406
Entity type: Organization (NPI-2)
Legal business name: Guiding Star Residence
Organization subpart: No
Enumeration date: May 4, 2026
Certification date: May 8, 2026
Last updated: May 8, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
251B00000X	Case Management	–	–
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–

Practice location

6751 S Solar Ave
Boise, ID 83709-6383

Phone 208-995-5594

Mailing address

6751 S Solar Ave
Boise, ID 83709-6383

Phone 208-995-5594

Authorized official

Salma Kassim
Owner
2089955594

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