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EDENCREST AS RIVERWOODS ASSISTED LIVING
NPI 1740694272
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Des Moines, IA

Active since June 12, 2014CLIA 16D2077596 · Waiver
2210 EAST PARK AVENUE, DES MOINES, IA 50320(515) 288-4040 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edencrest As Riverwoods Assisted Living NPPES

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

EDENCREST AS RIVERWOODS ASSISTED LIVING (NPI 1740694272) is a healthcare organization registered as an assisted living, behavioral disturbances in Des Moines, Iowa and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Nancy Pedersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1740694272
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameRIVERWOODS TERRACE, LLC
Location Address2210 EAST PARK AVENUEDes Moines, IA 50320
Mailing Address2210 East Park AvenueDes Moines, IA 50320 · (515) 288-4040
Phone(515) 288-4040
Organization SubpartNo
Authorized OfficialNancy PedersenManager · (515) 288-4040
Enumeration DateJune 12, 2014
✔ NPI 1740694272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in IA · SO339
Definition
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.
2210 EAST PARK AVENUE, Des Moines, IA 50320
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Other Names 1

Other NameEdencrest As Riverwoods Assisted Living

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 16D2077596

Edencrest At Riverwoods Assisted Living · Des Moines, IA
Active · expires May 11, 2028
CLIA Number16D2077596
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorSusan Cunningham
Laboratory Phone(515) 288-4040
Laboratory LocationEdencrest At Riverwoods Assisted Living2210 East Park Avenue, Des Moines, IA 50320
CLIA data matches this NPI record on: Address 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 Riverwoods Terrace, LLC's NPI number?

The NPI number for Riverwoods Terrace, LLC is 1740694272. It was assigned to this organization in the NPPES registry on June 12, 2014. The provider is also known as Edencrest As Riverwoods Assisted Living.

Where is Riverwoods Terrace, LLC located?

Riverwoods Terrace, LLC is located at 2210 East Park Avenue, Des Moines, IA 50320. The listed phone number is (515) 288-4040.

What is Riverwoods Terrace, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Does Riverwoods Terrace, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2077596) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverwoods Terrace, LLC was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.