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EDENCREST AT ADEL, LCC
NPI 1679367502
Assisted Living Facility in Adel, IA

Active since April 07, 2025CLIA 16D2321823 · Waiver

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Apr 7, 2025 (2 updates tracked since 2025).

About Edencrest At Adel, Lcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDENCREST AT ADEL, LCC (NPI 1679367502), doing business as Edencrest At Adel, is a healthcare organization registered as an assisted living facility in Adel, Iowa and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Jed Gines, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1679367502
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEDENCREST AT ADEL, LCC
Location Address621 302ND PLAdel, IA 50003-8033
Mailing Address6900 Westown PkwyWest Des Moines, IA 50266-2520 · (515) 243-3228
Phone(515) 513-9182
Organization SubpartNo
Authorized OfficialJed GinesVice President Of Operations · (515) 280-2058
Enumeration DateApril 7, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1679367502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
621 302ND PL, Adel, IA 50003
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Other Names 1

Doing Business AsEdencrest At Adel

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2321823

Edencrest At Adel · Adel, IA
Active · expires Apr 9, 2027
CLIA Number16D2321823
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorRoxanne Pals
Laboratory Phone(515) 513-9182
Laboratory LocationEdencrest At Adel621 302nd Pl, Adel, IA 50003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edencrest At Adel, Lcc's NPI number?

The NPI number for Edencrest At Adel, Lcc is 1679367502. It was assigned to this organization in the NPPES registry on April 7, 2025. The provider is doing business as Edencrest at Adel.

Where is Edencrest At Adel, Lcc located?

Edencrest At Adel, Lcc is located at 621 302nd Pl, Adel, IA 50003. The listed phone number is (515) 513-9182.

What is Edencrest At Adel, Lcc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Edencrest At Adel, Lcc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2321823) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edencrest At Adel, Lcc was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.