Healthcare Provider Details

I. General information

NPI: 1700748233
Provider Name (Legal Business Name): ELAK HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 6TH AVE
DES MOINES IA
50313-3433
US

IV. Provider business mailing address

1408 NW SPRUCE DR
ANKENY IA
50023-6052
US

V. Phone/Fax

Practice location:
  • Phone: 857-400-8920
  • Fax:
Mailing address:
  • Phone: 213-783-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ALEX KARANJA
Title or Position: DIRECTOR
Credential:
Phone: 213-783-4011