My Brothers Keeper

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

MY BROTHERS KEEPER

Practice address

4685 Merle Hay Rd Ste 203
Des Moines, IA 50322-1982

Phone

(402) 707-0615

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Dominique Hogan

Title

Owner

Phone

(402) 707-0615

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1952136483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 MERLE HAY RD STE 203",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221982",
            "telephone_number": "402-707-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 MERLE HAY RD STE 203",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221982",
            "telephone_number": "402-707-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHERS KEEPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-707-0615"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen K. Mussett, CRNA
• Ala Mustafa, MD
• Ibrahim Huzefa Mustaly
• Andrew Muth
• Cynthia Muthusi
• Brett Alan Myers, M.D.
• Cole Myers, MD
• Emily Myers, PA-C
• Jacqueline Elizabeth Myers, PA-C
• Kayla Myers, PHARMD, MPH

• Day Training/Habilitation Specialist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Day Training/Habilitation Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.