Organization
ELOHIM HOME LLC
Active
Other names
Elohim home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITEZEHO NKUNDABERA NIYOMUGABO (PRESIDENT/CEO)
(515) 721-6114
Entity
Organization
Contact information
Practice address
700 NE ALICES RD APT 2, WAUKEE, IA 50263-8853
(515) 721-6114
(515) 257-7674
Mailing address
2815 100TH ST # 386, URBANDALE, IA 50322-3860
(515) 639-4628
(515) 257-7674
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up