Organization Active NPI

Sista Empowher

  • Voluntary or Charitable Agency
  • Pembroke Pines, FL
National Provider Identifier
1487361358
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SISTA EMPOWHER
Practice address
11797 SW 16TH St
Pembroke Pines, FL 33025-3791
Phone
(754) 303-8480
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ketly Cleophas, MBA
Title
Executive Director
Phone
(754) 303-8480

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Local Education Agency (LEA) 251300000X
Voluntary or Charitable Agency 251V00000X Primary
Religious Nonmedical Health Care Institution 282J00000X

Addresses

Primary practice location

11797 SW 16TH St
Pembroke Pines, FL 33025-3791

Mailing address

11797 SW 16TH St
Pembroke Pines, FL 33025-3791
Phone (754) 303-8480

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1487361358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11797 SW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253791",
            "telephone_number": "754-303-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253791",
            "telephone_number": "754-303-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTA EMPOWHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "CLEOPHAS",
        "authorized_official_first_name": "KETLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "754-303-8480",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.