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RIVERWOODS TERRACE LLC NPI 1740694272


NPI Information

NPI: 1740694272
Provider Name: RIVERWOODS TERRACE, LLC

Other Name: EDENCREST AS RIVERWOODS ASSISTED LIVING

Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

CLIA Number: 16D2077596

Address:
2210 EAST PARK AVENUE
DES MOINES, IA
ZIP 50320
Phone: (515) 288-4040
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RIVERWOODS TERRACE, LLC is an assisted living and behavioral disturbances assisted living facility in Des Moines, IA. The provider is 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. RIVERWOODS TERRACE, LLC NPI is 1740694272. The provider is registered as an organization entity type.
The provider Other Name Is Edencrest As Riverwoods Assisted Living.

The provider's business location address is:

2210 EAST PARK AVENUE
DES MOINES, IA
ZIP 50320
Phone: (515) 288-4040

The provider's authorized official is Nancy Pedersen .
The authorized official title is Manager and has the following contact phone number (515) 288-4040.

The CLIA number assigned to this NPI record is 16D2077596 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2014 and was last updated on 6/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesSO339IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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