Organization Active NPI

Yahweh Yireh Host Home Service LLC

  • In Home Supportive Care Agency
  • Des Moines, IA
National Provider Identifier
1821817461
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YAHWEH YIREH HOST HOME SERVICE LLC
Practice address
1570 E Emma Ave
Des Moines, IA 50320-1518
Phone
(515) 745-4121
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Hancaltuu C Abdiisaa
Title
MD
Phone
(515) 745-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1570 E Emma Ave
Des Moines, IA 50320-1518

Mailing address

2101 Meadow CT Apt 404
Des Moines, IA 50320-4604
Phone (515) 745-4121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1821817461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MEADOW CT APT 404",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503204604",
            "telephone_number": "515-745-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E EMMA AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201518",
            "telephone_number": "515-745-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHWEH YIREH HOST HOME SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "ABDIISAA",
        "authorized_official_first_name": "HANCALTUU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "515-745-4121"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.