Active NPI
Elohim Complete Wellbeing Corporation
- Medically Fragile Infants and Children Day Care
- Kansas City, MO
National Provider Identifier
1124744578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- ELOHIM COMPLETE WELLBEING CORPORATION
- Practice address
- 111 W 10TH St
Kansas City, MO 64105-1700 - Phone
- (954) 270-5490
- NPI assigned
- Oct 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Brooks
- Title
- Ceo
- Phone
- (954) 270-5490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
111 W 10TH St
Kansas City, MO 64105-1700
Mailing address
4111 Broadway Unit 625
Kansas City, MO 64111-3527
Phone (954) 270-5490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robin@elohimb4us.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Plantation, FL
- NPI 1558817841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1124744578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 BROADWAY UNIT 625",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113527",
"telephone_number": "954-270-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W 10TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051700",
"telephone_number": "954-270-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELOHIM COMPLETE WELLBEING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-270-5490"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robin@elohimb4us.com",
"affiliation": "N",
"endpointDescription": "private email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "111 W 10th St",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641051700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.