Organization · Type 2 NPI

Supportive Independent Shared Housing LLC

Lodging Provider · Des Moines, IA

NPI number 1457280281 Active

Practice location

2323 Grand Ave Ste 100
Des Moines, IA 50312-5381

Specialties and licenses

TaxonomyCodeLicense
Lodging Provider Primary 177F00000XNone listed

Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Another provider at this address

About NPI 1457280281

Supportive Independent Shared Housing LLC's National Provider Identifier is 1457280281, issued on May 18, 2026. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Des Moines, IA. The record was last updated on May 18, 2026.