Hawkeye Praire Community Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HAWKEYE PRAIRE COMMUNITY LIVING LLC

Practice address

1817 22ND St
Des Moines, IA 50310-6012

Phone

(515) 228-6162

NPI assigned

Jul 19, 2025

Organization subpart

No

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

Authorized official

Name

Mohamud Ali

Title

Executive Director

Phone

(651) 216-8308

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754784000000",
    "number": "1366334633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MARTIN LUTHER KING JR PKWY UNIT 1A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503106179",
            "telephone_number": "651-216-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 22ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503106012",
            "telephone_number": "515-228-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE PRAIRE COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-216-8308"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hausler, PT, DPT
• Collin Havel
• Loren W Havemeier, PA
• Lynda L. Haver, DPM
• Erin Nicole Haverkamp, PA-C
• Christopher Michael Hawkins
• Rachelle Marie Hawkins, RN BSN
• Ronnie Hawkins, M.D.
• Michael John Hawks, RPH
• Clint Ross Hawthorne, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.