Divine Touch of Iowa LLC

Primary specialty

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

Legal business name

DIVINE TOUCH OF IOWA LLC

Doing business as

Divine Touch of Iowa LLC

Practice address

8350 Cascade Ave Unit 9207
WDM, IA 50266-8716

Phone

(202) 213-6881

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agbor Anthonia Mbu-Orock

Title

President

Phone

(202) 213-6881

Specialties & licenses 1

Addresses

Other names 1

• Divine Touch of Iowa LLC Doing business as

Tax ID family

Divine Touch of Iowa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divine Touch of Iowa LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • WDM, IA
  • NPI 1619566924
  NPD tax ID

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1659094654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 CASCADE AVE UNIT 9207",
            "city": "WDM",
            "state": "IA",
            "postal_code": "502668716",
            "telephone_number": "202-214-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 CASCADE AVE UNIT 9207",
            "city": "WDM",
            "state": "IA",
            "postal_code": "502668716",
            "telephone_number": "202-213-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH OF IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "MBU-OROCK",
        "authorized_official_first_name": "AGBOR ANTHONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-213-6881"
    },
    "taxonomies": [
        {
            "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": [
        {
            "organization_name": "Divine Touch of Iowa LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lynne Bowen, LISW
• Chiropractic Physiotherapy Clinic LLC
• Divine Touch of Iowa LLC
• Lynsea Gordon, PHARMD, RPH
• Lighthouse Counseling LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in WDM, IA
• Providers in WDM, 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 Sep 23, 2022; 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.