Edencrest at Siena Hills

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0368 Issued in IA

Legal business name

EDENCREST AT SIENA HILLS

Practice address

455 SW Ankeny Rd
Ankeny, IA 50023-9721

Phone

(515) 776-6325

Fax

(515) 777-3227

NPI assigned

Dec 6, 2017

Organization subpart

Yes

Parent organization

SIENA HILLS SENIOR LIVING, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Earp

Title

Manager

Phone

(515) 776-6325

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Edencrest at Siena Hills

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245745843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239721",
            "telephone_number": "515-776-6325",
            "fax_number": "505-777-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239721",
            "telephone_number": "515-776-6325",
            "fax_number": "515-777-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENCREST AT SIENA HILLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIENA HILLS SENIOR LIVING, LLC",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "EARP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-776-6325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA DEPARTMENT OF INSPECTIONS AND APPEALS",
            "identifier": "S0368",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Earles, RPH
• Marci Ann Earp, LISW
• Eastern Iowa Therapeutics PC Dba Accelerated Rehabilitation Centers
• Phyllis J Eddy, LMHC
• Mandee Helen Edel, SLP
• Michael R Edgington, PT, DPT
• Aleena Edwards
• Karla Edwards, ARNP, FNP-C
• Madeline Eggleston, OTD, OTR/L
• Melissa Ann Ehm Pote, DO

• Assisted Living Facility in Ankeny, IA
• Providers in Ankeny, 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 Jun 16, 2018; 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.