Organization Active NPI

File:///C:/Users/Alhadmin/Appdata/Local/Temp/

  • Assisted Living Facility
  • Des Moines, IA
National Provider Identifier
1902726474
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FILE:///C:/USERS/ALHADMIN/APPDATA/LOCAL/TEMP/
Practice address
1338 Harrison Ave
Des Moines, IA 50314-2337
Phone
(515) 633-7663
NPI assigned
Jul 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Ahmed Abdirahman
Title
Co-Owner
Phone
(515) 633-7663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1338 Harrison Ave
Des Moines, IA 50314-2337

Mailing address

1338 Harrison Ave
Des Moines, IA 50314-2337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1902726474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 HARRISON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 HARRISON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142337",
            "telephone_number": "515-633-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILE:///C:/USERS/ALHADMIN/APPDATA/LOCAL/TEMP/",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "ABDIRAHMAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "515-633-7663"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 Jul 16, 2026; 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.