Healthcare Provider Details

I. General information

NPI: 1487529889
Provider Name (Legal Business Name): VALLEY OF PEACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6634 E GARDENIA LN
NAMPA ID
83687-4903
US

IV. Provider business mailing address

6634 E GARDENIA LN
NAMPA ID
83687-4903
US

V. Phone/Fax

Practice location:
  • Phone: 208-809-4459
  • Fax:
Mailing address:
  • Phone: 208-809-4459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: LWABOSHI KABIRIGI
Title or Position: OWNER
Credential:
Phone: 208-809-4459