PASSION HEALTH CARE PROVIDER LLC
NPI 1649168337
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ankeny, IA
About Passion Health Care Provider Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSION HEALTH CARE PROVIDER LLC (NPI 1649168337) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ankeny, Iowa and active in the NPI registry since June 2025. The organization lists Derick Mbacham, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANKENY, IA 50023
ANKENY, IA 50023
ANKENY, IA 50023
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Passion Health Care Provider LLC's NPI number?
The NPI number for Passion Health Care Provider LLC is 1649168337. It was assigned to this organization in the NPPES registry on June 24, 2025.
Where is Passion Health Care Provider LLC located?
Passion Health Care Provider LLC is located at 208 NW Driftwood Ct, Ankeny, IA 50023. The listed phone number is (515) 525-5369.
What is Passion Health Care Provider LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Passion Health Care Provider LLC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Passion Health Care Provider Llc · NPI 1649168337
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Ankeny, Iowa. Organization record, active in the CMS NPPES registry since June 24, 2025.
## Identity
- **NPI:** 1649168337 (Entity type: Organization)
- **Enumerated:** June 24, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Also known as:** Passion Health Care Provider LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Derick Mbacham, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 208 NW DRIFTWOOD CT, Ankeny, IA 50023-6817
- **Phone:** (515) 525-5369
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649168337) · Data from the CMS NPPES public registry.