Edencrest At Beaverdale

LBN: Edencrest At Beaverdale
Edencrest At Beaverdale is an health care organization with primary practice located at 3410 Beaver Ave , Des Moines IA 50310-3271. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Edencrest At Beaverdale can be contacted via phone (515) 777-5105, or through Patterson, Sam via phone (515) 777-5105.

Contact Information

Primary practice address
3410 Beaver Ave Des Moines IA 50310-3271
Phone: (515) 777-5105
Fax: (515) 777-1969
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Sam
Phone: (515) 777-5105

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0369 Iowa

Profile Details

NPI number 1427563022
LBN Legal business name Edencrest At Beaverdale
DBA Doing business as
Authorized official Patterson, Sam
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2017
Last updated Jun 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427563022 NPPES
Iowa Other S0369 IOWA DEPARTMENT OF INSPECTIONS AND APPEALS

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