The Rose of East Des Moines, L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE ROSE OF EAST DES MOINES, L.P.

Practice address

1331 Idaho St
Des Moines, IA 50316-2463

Phone

(515) 883-1000

Fax

(515) 266-0116

NPI assigned

Apr 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory A McClenahan, J.D.

Title

President of General Partner

Phone

(952) 447-2345

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1063856771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRL SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722927",
            "telephone_number": "952-447-2345",
            "fax_number": "952-447-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 IDAHO ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162463",
            "telephone_number": "515-883-1000",
            "fax_number": "515-266-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSE OF EAST DES MOINES, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCLENAHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-447-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000202950",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.