PASSION HEALTH CARE PROVIDER LLC
NPI 1649168337
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ankeny, IA
- Organization
- Community Based Residential Treatment Fa...
About PASSION HEALTH CARE PROVIDER LLC
This page provides the complete NPI Profile along with additional information for Passion Health Care Provider Llc, a provider established in Ankeny, Iowa operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1649168337 assigned on June 2025. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Derick Mbacham (Executive Director)
- NPI
- 1649168337 Verify this NPI
- Provider Name
- PASSION HEALTH CARE PROVIDER LLC
- Entity Type
- Organization
- Location Address
- 208 NW DRIFTWOOD CT ANKENY, IA 50023
- Location Phone
- (515) 525-5369
- Mailing Address
- 208 NW DRIFTWOOD CT ANKENY, IA 50023
- Mailing Phone
- (515) 525-5369
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2025
- Last Update Date
- 06-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
ANKENY, IA 50023
ANKENY, IA 50023
ANKENY, IA 50023
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649168337, enumerated as an "organization" on June 24, 2025.
The provider is located at 208 NW DRIFTWOOD CT ANKENY, IA 50023 and the phone number is (515) 525-5369.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
