Nile Supportive Living LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

NILE SUPPORTIVE LIVING LLC

Practice address

14640 Estate Dr
Woodbridge, VA 22193-3225

Phone

(703) 966-3527

NPI assigned

Feb 22, 2025

Organization subpart

No

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

Authorized official

Name

Elisabeth TeshomeNPI 1154173771

Title

Owner

Phone

(703) 966-3527

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisabeth S Teshome, RN, BSN

  • Developmentally Disabled Services Day Training Agency
  • Woodbridge, VA
  • NPI 1154173771

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1750187449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 ESTATE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933225",
            "telephone_number": "703-966-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 ESTATE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933225",
            "telephone_number": "703-966-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14640 Estate Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221933225",
            "country_code": "US",
            "telephone_number": "703-966-3527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NILE SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "TESHOME",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-966-3527"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daddy Brian Ngwa Afanwi
• Zackaria Niazi, D.O.
• Rebecca Ann Nickerson
• Mebratie Nigussie
• Zohreh Nikkhah Abyaneh, MD
• Raymond R. Niles II, DDS
• Nimos Light LLC
• Leigh Ann Nitz, CPM, LM
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC

• Developmentally Disabled Services Day Training Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.