Organization Active NPI

Moriah Home LLC

  • Community/Behavioral Health Agency
  • Johnston, IA
National Provider Identifier
1982435855
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MORIAH HOME LLC
Practice address
6802 Lewis Carroll CT
Johnston, IA 50131-4504
Phone
(515) 305-6450
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Beatrice Nyiramukobwa
Title
President/Ceo
Phone
(515) 305-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6802 Lewis Carroll CT
Johnston, IA 50131-4504

Mailing address

6805 Lewis Carroll CT
Johnston, IA 50131-4504
Phone (515) 305-6450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1982435855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 LEWIS CARROLL CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314504",
            "telephone_number": "515-305-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 LEWIS CARROLL CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314504",
            "telephone_number": "515-305-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIAH HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "NYIRAMUKOBWA",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-305-6450"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.