CCRC OF WEST DES MOINES, LLC (NPI# 1093286395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093286395 |
| Entity Type | Organization |
| Organization Name | CCRC OF WEST DES MOINES, LLC |
| Practice Address |
8950 Coachlight Drive West Des Moines IA 50266 |
| Mailing Address |
11827 W 112th St Ste 103 Overland Park KS 66210-2718 |
| Practice Telephone | 5153692100 |
| Practice Fax Number | 9139566564 |
| Mailing Telephone | 9138904780 |
| Mailing Fax Number | 9139566564 |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | SCOTT GULLEDGE (MANAGER BY CONTRACT) |
| Authorized Official Telephone | 9138904780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cedar Ridge Village | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CCRC OF WEST DES MOINES, LLC | 11827 W 112th St. Ste 103, Overland Park, KS 66210 |
| Street Address |
8950 COACHLIGHT DRIVE |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| 1043721475 | Markita Jo Valliere | Nurse Practitioner | 5950 University Ave Ste 225, West Des Moines, IA 50266 | 2017-10-12 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154560506 | Edgewater, A Wesley Active Life Community, LLC | Skilled Nursing Facility | 9225 Cascade, West Des Moines, IA 50266 | 2009-02-09 |
| 1609801828 | Manor Care of West Des Moines Ia LLC | Skilled Nursing Facility | 5010 Grand Ridge Dr, West Des Moines, IA 50265-5754 | 2006-07-12 |
| 1588620637 | Arbor Springs of West Des Moines | Skilled Nursing Facility | 7951 E P True Pkwy, West Des Moines, IA 50266-8107 | 2006-04-25 |
| 1891781399 | Fountain Health Centers, Inc. | Skilled Nursing Facility | 1501 Office Park Rd, West Des Moines, IA 50265-2497 | 2005-09-21 |
| 1962750729 | Rehab Visions | Skilled Nursing Facility | 1454 30th St, Suite 103, West Des Moines, IA 50266-1305 | 2012-08-27 |
| 1265751275 | Manor Care of West Des Moines Ia, LLC | Skilled Nursing Facility | 5010 Grand Ridge Dr, West Des Moines, IA 50265-5754 | 2010-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| 1669971487 | Martin Health Center, Inc. | Skilled Nursing Facility | 5111 Caraway Ln, Cedar Falls, IA 50613-8089 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.