Active NPI
Nile Sisters Development Initiative
- Case Manager/Care Coordinator
- San Diego, CA
National Provider Identifier
1437909736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- NILE SISTERS DEVELOPMENT INITIATIVE
- Practice address
- 4265 Fairmount Avenue
Suite 130
San Diego, CA 92105-6401 - Phone
- (619) 265-2959
- NPI assigned
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Lou
- Title
- President/Ceo
- Phone
- (619) 265-2959
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Adult Care Home Facility | 311ZA0620X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
4265 Fairmount Avenue
Suite 130
San Diego, CA 92105-6401
Mailing address
4265 Fairmount Avenue
Suite 130
San Diego, CA 92105-6401
National Provider Directory
National Provider Directory- Tax ID family
- Nile Sisters Development Initiative
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Manager/Care Coordinator
- San Diego, CA
- NPI 1003670761
Locations
4265 Fairmount Ave
Ste 130
San Diego, CA 92105
Phone (619) 265-2959
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1437909736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4265 FAIRMOUNT AVENUE",
"address_2": "SUITE 130",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921056401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 FAIRMOUNT AVENUE",
"address_2": "SUITE 130",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921056401",
"telephone_number": "619-265-2959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NILE SISTERS DEVELOPMENT INITIATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"status": "A",
"authorized_official_last_name": "LOU",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "619-265-2959"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.