# SANOURA HAVEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578448643
- **Authorized official:** KAITLIN PETERS RN (OWNER/OPERATOR, RN)
- **Authorized official phone:** (208) 402-8769

## Contact information

- **Practice address:** 110 12TH AVE S STE 201, NAMPA, ID 83651-3934
- **Practice address phone:** (208) 402-8769
- **Practice address fax:** (208) 266-5610
- **Mailing address:** PO BOX 101, NAMPA, ID 83653-0101
- **Mailing address phone:** (208) 402-8769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 251E00000X | Home Health Agency | — | — | Yes |
| 251J00000X | Nursing Care Agency | — | — | — |

## Other

- **Enumeration date:** 08/07/2025
- **Last updated:** 01/18/2026