Active NPI
4Maple Haven
- Community/Behavioral Health Agency
- Boise, ID
National Provider Identifier
1497627640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- 4MAPLE HAVEN
- Practice address
- 9492 W Fairview Ave
Boise, ID 83704-8101 - Phone
- (208) 936-0670
- NPI assigned
- Sep 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ferdinand Nyabenda
- Title
- Owner
- Phone
- (208) 936-0670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9492 W Fairview Ave
Boise, ID 83704-8101
Mailing address
9492 W Fairview Ave
Boise, ID 83704-8101
Phone (208) 936-0670
National Provider Directory
National Provider Directory- Tax ID family
- 4Maple Haven
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Boise, ID
- NPI 1912873209
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1497627640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9492 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048101",
"telephone_number": "208-936-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9492 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048101",
"telephone_number": "208-936-0670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "4MAPLE HAVEN",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-18",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "NYABENDA",
"authorized_official_first_name": "FERDINAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-936-0670"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.