Nancy Lourdes De Castro

Individual provider Active NPI Case Manager/Care Coordinator · Boise, ID

NPI 1184565673 · NPPES record last updated Apr 1, 2026

Key facts

NPI
1184565673
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
8675 W Ardene St
Boise, ID 83709-2601
Phone
(208) 780-3900
Fax
(208) 375-2882
NPI assigned
Apr 1, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lifepath Services LLC Past
since Oct 1, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X ID Yes
Social Worker 104100000X ID

Addresses

Primary practice location

8675 W Ardene St
Boise, ID 83709-2601

Mailing address

11518 W Gabrielle Dr
Boise, ID 83713-7881

Other providers in Boise, ID

All providers in Boise, ID · Case Manager/Care Coordinator in Idaho

Sources for this page

Verify at the official NPI Registry.