Elohim Home LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELOHIM HOME LLC

Practice address

700 NE Alices Rd Apt 2
Waukee, IA 50263-8853

Phone

(515) 721-6114

Fax

(515) 257-7674

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nitezeho Nkundabera Niyomugabo

Title

President/Ceo

Phone

(515) 721-6114

Specialties & licenses 10

Addresses

Other names 1

• Elohim home LLC Other name

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1356172811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 100TH ST # 386",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223860",
            "telephone_number": "515-639-4628",
            "fax_number": "515-257-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE ALICES RD APT 2",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638853",
            "telephone_number": "515-721-6114",
            "fax_number": "515-257-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOHIM HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "NIYOMUGABO",
        "authorized_official_first_name": "NITEZEHO",
        "authorized_official_middle_name": "NKUNDABERA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-721-6114",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "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": [],
    "other_names": [
        {
            "organization_name": "Elohim home LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eastern Iowa Therapeutics PC
• Edencrest at Kettlestone, LLC
• Allyson Christina Effle, SLP
• Jill Eggers, OD
• Elite Eye Care PC
• Haithem Emam
• Eminent Group Home
• Eminent Health Group LLC
• Empower Holding Group
• Johanna Engel-Brower, MD

• Community/Behavioral Health Agency in Waukee, IA
• Providers in Waukee, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.