Provider Demographics
NPI:1528941010
Name:BEACONS OF HOPE DES MOINES
Entity type:Organization
Organization Name:BEACONS OF HOPE DES MOINES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-421-5661
Mailing Address - Street 1:655 SE PARKER DR
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8391
Mailing Address - Country:US
Mailing Address - Phone:515-421-5661
Mailing Address - Fax:
Practice Address - Street 1:655 SE PARKER DR
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8391
Practice Address - Country:US
Practice Address - Phone:515-421-5661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEACONS OF HOPE DES MOINES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities