Riverwoods Terrace, LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

SO339 Issued in IA

Legal business name

RIVERWOODS TERRACE, LLC

Practice address

2210 East Park Avenue
Des Moines, IA 50320

Phone

(515) 288-4040

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Pedersen

Title

Manager

Phone

(515) 288-4040

Specialties & licenses 1

Addresses

Other names 1

• Edencrest as Riverwoods Assisted Living Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1740694272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 EAST PARK AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50320",
            "telephone_number": "515-288-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 EAST PARK AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50320",
            "telephone_number": "515-288-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOODS TERRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-288-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "IA",
            "license": "SO339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edencrest as Riverwoods Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madeline Hope Ritter, D.D.S.
• Laurence Lee Rivas Jr.
• Erin Kathaleen Rivera-Case, CADC
• Amanda Rivera
• Joseph Rivera, DPT
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• Laura Elizabeth Rizer
• Nicole Rizk, DO
• Sheri Lynn Roach, A.R.N.P.
• Emily A. Roalson, PA-C

• Assisted Living Facility (Behavioral Disturbances) in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Assisted Living Facility (Behavioral Disturbances) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.