Organization
ELOHIM HOMECARE AND STAFFING AGENCY INC
Active
Other names
ELOHIM HOMECARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE CHEPKOSGEI (ASSISTANT ADMINISTRATOR)
(515) 727-1760
Entity
Organization
Contact information
Practice address
6165 NW 86TH ST, JOHNSTON, IA 50131-2270
(515) 727-1760
(515) 727-1601
Mailing address
6165 NW 86TH ST, JOHNSTON, IA 50131-2270
(515) 727-1760
(515) 727-1601
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
IA
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/03/2017
Last updated
06/20/2018
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