EDENCREST AT BEAVERDALE
NPI 1427563022
Assisted Living Facility in Des Moines, IA
- Organization
- Assisted Living Facility
- CLIA Number: 16D2140809
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-29-2027
About EDENCREST AT BEAVERDALE
This page provides the complete NPI Profile along with additional information for Edencrest At Beaverdale, a provider established in Des Moines, Iowa operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1427563022 assigned on December 2017. The practitioner's primary taxonomy code is 310400000X with license number S0369 (IA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Sam Patterson (Manager)
- NPI
- 1427563022 Verify this NPI
- Provider Name
- EDENCREST AT BEAVERDALE
- Entity Type
- Organization
- Location Address
- 3410 BEAVER AVE DES MOINES, IA 50310
- Location Phone
- (515) 777-5105
- Location Fax
- (515) 777-1969
- Mailing Address
- 3410 BEAVER AVE DES MOINES, IA 50310
- Mailing Phone
- (515) 777-5105
- Mailing Fax
- (515) 777-1969
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-06-2017
- Last Update Date
- 06-16-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- S0369
- License State
- IA
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S0369 | OTHER (01) | IA | IOWA DEPARTMENT OF INSPECTIONS AND APPEALS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D2140809
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 30, 2025
- Certificate Expiration Date
- November 29, 2027
- Laboratory Director
- JACI WILCOX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Edencrest At Beaverdale to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EDENCREST AT BEAVERDALE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427563022, enumerated as an "organization" on December 06, 2017.
The provider is located at 3410 BEAVER AVE DES MOINES, IA 50310 and the phone number is (515) 777-5105.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
