Stephan Mangeac

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

918 W Greenhurst Rd
Nampa, ID 83686-2918

Phone

(208) 412-9263

NPI assigned

Oct 12, 2022

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1912623877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W GREENHURST RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862918",
            "telephone_number": "208-412-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W GREENHURST RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862918",
            "telephone_number": "208-412-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGEAC",
        "first_name": "STEPHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-09-29",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "margaretamangeac@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "direct communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "margaretamangeac@gmail.com",
            "address_1": "918 W Greenhurst Rd",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836862918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roger Scott Malm, PA
• Lenard L Malmin Jr., CNP
• Caleb Malvini
• Samantha Mancino
• Elizabeth Mangeac, PHAMD
• Daniella Manirakiza
• Larissa Mann, AU.D.
• Kelly B. Mansfield, D.D.S.
• Madison Mansfield, MD
• Lori Ann Manzanares, LPC

• Adult Care Home Facility in Nampa, ID
• Providers in Nampa, ID by specialty
• Adult Care Home Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.