Organization Active NPI

Supportive Home & Community Assisted Living LLC

  • Public Health or Welfare Agency
  • Des Moines, IA
National Provider Identifier
1144178799
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SUPPORTIVE HOME & COMMUNITY ASSISTED LIVING LLC
Practice address
5062 Grandview Ave
Des Moines, IA 50317-6048
Phone
(515) 500-8050
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Arneau Michel Lemoupa FokouNPI 1447108089
Title
Ceo/Owner
Phone
(804) 616-1707

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

5062 Grandview Ave
Des Moines, IA 50317-6048

Mailing address

5062 Grandview Ave
Des Moines, IA 50317-6048
Phone (804) 616-1707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1144178799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 GRANDVIEW AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176048",
            "telephone_number": "804-616-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 GRANDVIEW AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503176048",
            "telephone_number": "515-500-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE HOME & COMMUNITY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LEMOUPA FOKOU",
        "authorized_official_first_name": "ARNEAU MICHEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-616-1707"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.