Organization Active NPI

Sanoura Haven LLC

  • Home Health Registered Nurse
  • Nampa, ID
National Provider Identifier
1578448643
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
SANOURA HAVEN LLC
Practice address
110 12TH Ave S Ste 201
Nampa, ID 83651-3934
Phone
(208) 402-8769
Fax
(208) 266-5610
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Authorized official

Name
Kaitlin Peters, RNNPI 1225913395
Title
Owner/Operator, RN
Phone
(208) 402-8769

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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

110 12TH Ave S Ste 201
Nampa, ID 83651-3934

Mailing address

PO Box 101
Nampa, ID 83653-0101
Phone (208) 402-8769

National Provider Directory

National Provider Directory

Locations

110 12th Ave S
Ste 201
Nampa, ID 83651
Phone (208) 402-8769

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": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1578448643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530101",
            "telephone_number": "208-402-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 12TH AVE S STE 201",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513934",
            "telephone_number": "208-402-8769",
            "fax_number": "208-266-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANOURA HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER/OPERATOR, RN",
        "authorized_official_telephone_number": "208-402-8769",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.