Organization Active NPI

Light of Glory Home Care LLC

  • In Home Supportive Care Agency
  • West Des Moines, IA
National Provider Identifier
1881508182
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIGHT OF GLORY HOME CARE LLC
Practice address
1040 90TH St
West Des Moines, IA 50266-3306
Phone
(515) 552-9089
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Daniel Morris Deisrael
Title
Co-Owner
Phone
(515) 552-9089

Specialties & licenses 1

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

Addresses

Primary practice location

1040 90TH St
West Des Moines, IA 50266-3306

Mailing address

1040 90TH St
West Des Moines, IA 50266-3306
Phone (515) 552-9089

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1881508182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 90TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663306",
            "telephone_number": "515-552-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 90TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663306",
            "telephone_number": "515-552-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF GLORY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "DEISRAEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "515-552-9089"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West 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 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.