SUPPORTIVE INDEPENDENT SHARED HOUSING LLC NPI 1457280281

NPI Information

  • NPI: 1457280281
  • Provider Name: SUPPORTIVE INDEPENDENT SHARED HOUSING LLC
  • Classification: Lodging - 177F00000X
  • Entity Type: Organization
  • Address: 2323 GRAND AVE STE 100
    DES MOINES, IA
    ZIP 50312
  • Phone: (515) 218-8851

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NPI Details

SUPPORTIVE INDEPENDENT SHARED HOUSING LLC is a lodging in Des Moines, IA. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. SUPPORTIVE INDEPENDENT SHARED HOUSING LLC NPI is 1457280281. The provider is registered as an organization entity type.

The provider's business location address is:

2323 GRAND AVE STE 100
DES MOINES, IA
ZIP 50312-381
Phone: (515) 218-8851

The provider's authorized official is Raenesha Luna .
The authorized official title is Ceo and has the following contact phone number (515) 218-8851.

The enumeration date for this NPI number is 5/18/2026 and was last updated on 5/18/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1177F00000XLodgingYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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