Organization
ELOHIM HOME CARE LLC
Active
Other names
nitezeho LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN DE DIEU NITEZEHO NIYOMUGABO (CEO)
(701) 891-8809
Entity
Organization
Contact information
Practice address
310 SE GATEWAY DR APT 139, GRIMES, IA 50111-8747
(701) 891-8809
Mailing address
4300 BEAVER AVE, DES MOINES, IA 50310-3773
(701) 891-8809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2
—
IA
Enumeration date
05/12/2016
Last updated
07/01/2016
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