RIVERWOODS TERRACE, LLC (NPI# 1740694272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740694272 |
| Entity Type | Organization |
| Organization Name | RIVERWOODS TERRACE, LLC |
| Other Organization Name | EDENCREST AS RIVERWOODS ASSISTED LIVING |
| Practice Address |
2210 East Park Avenue Des Moines IA 50320 |
| Practice Telephone | 5152884040 |
| Mailing Telephone | 5152884040 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | MS. NANCY PEDERSEN (MANAGER) |
| Authorized Official Telephone | 5152884040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
SO339 | IA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Edencrest as Riverwoods Assisted Living | Other Name - Individual/Organization |
| Street Address |
2210 EAST PARK AVENUE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1922584127 | Alyssa Happe | Registered Nurse | 2353 Se 14th St, Des Moines, IA 50320 | 2018-07-11 |
| 1023491206 | April Winters | Family Medicine | 2353 Se 14th St, Des Moines, IA 50320 | 2015-07-07 |
| 1063691962 | Keith A Colwell Dds PC | Dentist | 6057 Se 14th St, Des Moines, IA 50320 | 2007-10-26 |
| 1528110467 | Mosaic | Intermediate Care Facility, Mentally Retarded | 3206 Se 20th Street, Des Moines, IA 50320-0000 | 2007-01-18 |
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1841286804 | Courtney Gillis Palmer | Social Worker | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2005-09-26 |
| 1205495413 | Elizabeth Pfaff Thompson | Physician Assistant | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-06-11 |
| 1922563063 | Brooke Aletta Raney | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-02-03 |
| 1750854410 | Kathryn Elizabeth Crawford | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-01-05 |
| Find all providers in zip 50320 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| City | DES MOINES |
| Zip Code | 50320 |
Please comment or provide details below to improve the information on RIVERWOODS TERRACE, LLC.
| 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.