Divine Angels Healthcare Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DIVINE ANGELS HEALTHCARE SERVICES

Practice address

1444 4TH St
Des Moines, IA 50314-3210

Phone

(412) 334-1197

NPI assigned

Oct 25, 2023

Organization subpart

Yes

Parent organization

NIBITANGA EVELINEAs reported in NPPES

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

Authorized official

Name

Nibitanga Nibitanga

Title

Mental Health

Phone

(515) 822-7449

Specialties & licenses 1

Addresses

Part of

Divine Angels Healthcare Services

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1417729237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 4TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 4TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143210",
            "telephone_number": "412-334-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANGELS HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIBITANGA EVELINE",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "NIBITANGA",
        "authorized_official_first_name": "NIBITANGA",
        "authorized_official_title_or_position": "MENTAL HEALTH",
        "authorized_official_telephone_number": "515-822-7449"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A. Disbro, M.D.
• Discovery Trail Healthcare, Inc.
• Rachel Distler, DO
• Elizabeth Ditomaso
• Francis Ditomaso
• Sapna Ram Dixon
• Fikret Dizdarevic, LMSW
• Nguyen Thi My DO
• Jeffrey Dobrzynski, MD
• Lisa Ann Dobson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.