<Unavail>

LBN: Edgewater, A Wesley Active Life Community, Llc
<Unavail> is an health care organization with primary practice located at 9225 Cascade , West Des Moines IA 50266. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Edgewater, A Wesley Active Life Community, Llc can be contacted via phone (515) 978-2395, or through Flanagan, Craig via phone (515) 271-6559.

Contact Information

Primary practice address
9225 Cascade West Des Moines IA 50266
Phone: (515) 978-2395
Fax: (515) 271-6898
Website:
Map and Directions
Authorized official contact:
Name: Flanagan, Craig
Phone: (515) 271-6559

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1154560506
LBN Legal business name Edgewater, A Wesley Active Life Community, Llc
DBA Doing business as <Unavail>
Authorized official Flanagan, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 9th, 2009
Last updated Mar 12th, 2025 - about last year

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 1154560506 NPPES
Iowa MEDICAID 0800031

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