Active NPI
Hopelife Homecare
- Home Health Agency
- Des Moines, WA
National Provider Identifier
1265237887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOPELIFE HOMECARE
- Practice address
- 22802 27TH Ave S
Des Moines, WA 98198-4403 - Phone
- (507) 848-3978
- NPI assigned
- Feb 18, 2025
- Last updated
- Feb 18, 2025
- 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
- Baraka Simon Chemu
- Title
- Program Director
- Phone
- (507) 848-3978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
22802 27TH Ave S
Des Moines, WA 98198-4403
Mailing address
22802 27TH Ave S
Des Moines, WA 98198-4403
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1265237887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22802 27TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981984403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22802 27TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981984403",
"telephone_number": "507-848-3978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPELIFE HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "CHEMU",
"authorized_official_first_name": "BARAKA",
"authorized_official_middle_name": "SIMON",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "507-848-3978"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.