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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

208 SUPPORTED LIVING
NPI 1629976907
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nampa, ID

Active since October 27, 2026
1512 4TH ST N, NAMPA, ID 83687(208) 409-1259 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About 208 Supported Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

208 SUPPORTED LIVING (NPI 1629976907) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Nampa, Idaho and active in the NPI registry since October 2026. The organization lists Theodore Mazambi, Governing Authority, as its authorized official.

NPPES Registry Identity

NPI1629976907
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business Name208 SUPPORTED LIVING
Location Address1512 4TH ST NNampa, ID 83687-4039
Mailing Address1512 4th St NNampa, ID 83687-4039 · (208) 409-1259
Phone(208) 409-1259
Organization SubpartNo
Authorized OfficialTheodore MazambiGoverning Authority · (208) 409-1259
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1629976907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1512 4TH ST N, Nampa, ID 83687
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 208 Supported Living's NPI number?

The NPI number for 208 Supported Living is 1629976907. It was assigned to this organization in the NPPES registry on October 27, 2026.

Where is 208 Supported Living located?

208 Supported Living is located at 1512 4th St N, Nampa, ID 83687. The listed phone number is (208) 409-1259.

What is 208 Supported Living's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for 208 Supported Living was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.