NPI 1912873209 · live from the CMS NPI Registry
4maple Haven
Case Management in Boise, ID. National Provider Identifier 1912873209, active.
NPI record
| NPI | 1912873209 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Case Management 251B00000X |
| Practice location | 9492 W Fairview Ave, Boise, ID 83704 |
| Practice phone | 208-936-0670 |
| Enumerated | October 14, 2025 |
| Last updated | November 21, 2025 |
| Authorized official | Ferdinand Nyabenda, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, School | 1041S0200X | — |
| Case Management primary | 251B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.