ELOHIM HOME CARE LLC — NPI 1215383898 (CMS-Certified Home Health Care & Skilled Nursing Agency in GRIMES, IA)

CMS-1500 Box 24J / 33a • NPI

1215383898

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251E00000X (CMS A4[11])

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

310 SE GATEWAY DR APT 139, GRIMES, IA, 50111-8747

✓ 9-Digit EDI 837 ZIP+4 (50111-8747)

Practice Phone & Referral Fax

(701) 891-8809

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215383898 (ELOHIM HOME CARE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215383898` (NPI-2 Organization / Facility)
Provider / Legal Name	ELOHIM HOME CARE LLC
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `251E00000X` (Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	310 SE GATEWAY DR APT 139, GRIMES, IA, 50111-8747
Practice Telephone / Fax	Tel: (701) 891-8809
Administrative Mailing Address	4300 BEAVER AVE, DES MOINES, IA, 50310-3773
Enumeration & Last Sync	Enumerated: 2016-05-12 \| CMS Record Updated: 2016-07-01
Authorized Official	JEAN DE DIEU NITEZEHO NIYOMUGABO (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

310 SE GATEWAY DR APT 139, GRIMES, IA, 50111-8747

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Plain-English Taxonomy & CMS Crosswalk (251E00000X)

What Does Taxonomy Code 251E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A4[11] (Home Health Agency) • CMS Code A4[11] (Home Health Agency (Subunit))
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ELOHIM HOME CARE LLC)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`261QD1600X` — Clinic/Center, Developmental Disabilities Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`385H00000X` — Respite Care Plain English: Licensed & Credentialed Respite Care	State: N/A \| License: `Verified` \| Primary: Secondary
`253J00000X` — Foster Care Agency Plain English: Licensed & Credentialed Foster Care Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`252Y00000X` — Early Intervention Provider Agency Plain English: Licensed & Credentialed Early Intervention Provider Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ELOHIM HOME CARE LLC (NPI #1215383898)