Active NPI
Arbor Springs Operations, LLC
- Nursing Care Agency
- West Des Moines, IA
National Provider Identifier
1407313349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ARBOR SPRINGS OPERATIONS, LLC
- Doing business as
- Arbor Springs - West Des Moines
- Practice address
- 7951 Ep True Pkwy
West Des Moines, IA 50266-8107 - Phone
- (515) 223-1135
- NPI assigned
- Feb 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Dao
- Title
- Vice President
- Phone
- (714) 401-9960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
7951 Ep True Pkwy
West Des Moines, IA 50266-8107
Mailing address
PO Box 10159
Marina del Rey, CA 90295-6159
Phone (714) 401-9960
Other names 1
- Arbor Springs - West Des Moines
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200210000383 | IA | Part A Provider - Skilled Nursing Facility | 0446686521 | Practice locations: West Des Moines, IA |
Skilled nursing facility certification: CCN 165548
- Legal name
- ARBOR SPRINGS OPERATIONS, LLC
- Doing business as
- ARBOR SPRINGS OF WEST DES MOINES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jan 1, 2005
- Last certification
- May 29, 2025
- Beds
- 56
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Mar 24, 2019
- Organization structure
- LLC
- Enrollment address
- 7951 Ep True Pkwy
West Des Moines, IA 50266-8107 - Nursing home name
- ARBOR SPRINGS OF WEST DES MOINES L L C
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Arbor Springs of West Des Moines L L C
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 2005
- Medicare certification status
- Active
- Certified beds
- 56
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1039173 | Arbor Springs of West Des Moines | Certificate of waiver | Apr 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Integro Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 14, 2018 | 100% |
| Operational/Managerial Control | Nov 14, 2018 | ||
| Kenneth Q Dao | 5% Or Greater Indirect Ownership Interest | Nov 14, 2018 | 15% |
| Corporate Officer | Nov 14, 2018 | ||
| Operational/Managerial Control | Nov 14, 2018 | ||
| Tracy L Clark | 5% Or Greater Indirect Ownership Interest | Nov 14, 2018 | 25% |
| Corporate Officer | Nov 14, 2018 | ||
| Operational/Managerial Control | Nov 14, 2018 | ||
| Rowan J Farber | 5% Or Greater Indirect Ownership Interest | Nov 14, 2018 | 60% |
| Corporate Officer | Nov 14, 2018 | ||
| Operational/Managerial Control | Nov 14, 2018 | ||
| Integro Asset Management LLC | Operational/Managerial Control | Mar 24, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551225600000",
"number": "1407313349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10159",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902956159",
"telephone_number": "714-401-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7951 EP TRUE PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668107",
"telephone_number": "515-223-1135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARBOR SPRINGS OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A",
"authorized_official_last_name": "DAO",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "714-401-9960"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arbor Springs - West Des Moines",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.